MEDICARE: VANESSY DALIA MANZINI 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	OTA20188	FL

General Provider Information

NPI Number	:	1942173604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSY DALIA MANZINI COTA/L

Provider Business Mailing Address
First Line	:	8900 W FLAGLER ST APT 4
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 MADRUGA AVE STE 406
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3019
Country	:	US
Telephone Number	:	305-753-8253
Fax Number	:

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

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	09/27/2025

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