Organization
KID SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MEYER COTA (PRESIDENT)
(386) 283-8316
Entity
Organization
Contact information
Practice address
9 PINE CONE DR STE 104A, PALM COAST, FL 32137-8683
(386) 283-8316
Mailing address
35 RYDER DR, PALM COAST, FL 32164-6002
(386) 283-8316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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