Individual
MS. DEBRA MARIE COTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449
Mailing address
1627 ATLANTIC AVE, FERNANDINA BEACH, FL 32034-2834
(904) 261-7538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA22524
FL
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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