Organization
FOUR PEAKS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COLEMAN COTA/L (CEO)
(480) 818-5305
Entity
Organization
Contact information
Practice address
10633 E APACHE TRL STE 106, APACHE JUNCTION, AZ 85120-3383
(480) 818-8305
Mailing address
PO BOX 7323, MESA, AZ 85216-7323
(480) 818-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
04/10/2026
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