IndividualActive
Elizabeth Sosa, COTA
NPI 1003644857 · Occupational Therapy Assistant · Fort Mohave, AZ
Provider details
- NPI number
- 1003644857
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA-050134 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone: (928) 788-2273
Approximate (ZIP-level) locationGet directions
Mailing address
681 Longhollow Rd
Dale, TX 78616-2904
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.