MEDICARE: MATTIE DEVIN ELLIOTT COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	5164	SC

General Provider Information

NPI Number	:	1831796994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTIE DEVIN ELLIOTT COTA/L

Provider Business Mailing Address
First Line	:	1531 GATOR TRAK
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-9146
Country	:	US
Telephone Number	:	843-621-5210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 OLD TROLLEY RD STE 203
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-8283
Country	:	US
Telephone Number	:	843-594-3032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	10/02/2020

Similar Medicare Providers

1427533983 — CONNECT HEARING, INC
Practice Location Address:

1801 OLD TROLLEY RD STE 101
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-3235
Practice Fax: 843-871-3233

1760456909 — OAKBROOK PEDIATRICS, PA
Practice Location Address:

1801 TROLLEY RD , STE 202
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-2588
Practice Fax: 843-871-1664

1558519009 — MS. JANET M PETITTE MS CCC/A
Practice Location Address:

1801 OLD TROLLEY RD STE 101
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-3235
Practice Fax: 843-871-3233

1851625008 — MRS. MARY ELIZABETH HALL MSP, CCC-SLP
Practice Location Address:

1801 OLD TROLLEY RD , SUITE 101
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-3235
Practice Fax: 843-871-3233

1023316288 — SARA LOUISE MCDOWELL-JENKINS M.A., CCC-SLP
Practice Location Address:

1801 OLD TROLLEY RD , SUITE 101
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-3235
Practice Fax: 843-871-3233

1801174883 — CHRISTINE COLLINS LPC-A
Practice Location Address:

1801 OLD TROLLEY RD STE 200
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-781-0075
Practice Fax:

1902157456 — MICHELLE MOORE
Practice Location Address:

1801 OLD TROLLEY RD # STE 101
SUMMERVILLE, SC
29485-8283

Practice Phone: 843-871-3235
Practice Fax:

Directions to “ MATTIE DEVIN ELLIOTT COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.