Organization
LISA HURST,COTA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA L HURST COTA (OCCUPATIONAL THERAPY ASSISTANT)
(734) 834-4216
Entity
Organization
Contact information
Practice address
7377 DEERTRACK CT, YPSILANTI, MI 48197-9591
(734) 834-4216
Mailing address
7377 DEERTRACK CT, YPSILANTI, MI 48197-9591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006537
MI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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