MEDICARE: MS. KAREN RENEE COCHENOUR COTA

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	5202006098	MI

General Provider Information

NPI Number	:	1932308988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN RENEE COCHENOUR COTA

Provider Business Mailing Address
First Line	:	20124 MACEL ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-1132
Country	:	US
Telephone Number	:	586-945-1896
Fax Number	:

Provider Business Practice Location Address
First Line	:	20124 MACEL ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-1132
Country	:	US
Telephone Number	:	586-945-1896
Fax Number	:

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

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	03/03/2026

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