# KASEY COTTERMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508129776
- **Authorized official:** MS. KASEY KRISTINE COTTERMAN COTA/L (OCCUPATIONAL THERAPIST ASSISTANT)
- **Authorized official phone:** (567) 204-7962

## Contact information

- **Practice address:** 8830 VIRGINIA ST, AMELIA COURT HOUSE, VA 23002-4826
- **Practice address phone:** (804) 561-5611
- **Mailing address:** 5561 FOREST HILL AVE, RICHMOND, VA 23225-2551
- **Mailing address phone:** (567) 204-7962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 9 | VA | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 07/21/2022