Individual
ELIZABETH SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-2273
Mailing address
681 LONGHOLLOW RD, DALE, TX 78616-2904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
218248
TX
224Z00000X
Occupational Therapy Assistant
Primary
OT-2024-0023
NM
224Z00000X
Occupational Therapy Assistant
OTA-050134
AZ
Other
Enumeration date
07/23/2024
Last updated
05/07/2025
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