Provider Demographics
NPI:1043511413
Name:TROTMAN, YVETTE AMANDA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:AMANDA
Last Name:TROTMAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 GREENSPRING AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-3300
Mailing Address - Country:US
Mailing Address - Phone:410-225-9160
Mailing Address - Fax:410-225-9351
Practice Address - Street 1:3855 GREENSPRING AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-3300
Practice Address - Country:US
Practice Address - Phone:410-225-9160
Practice Address - Fax:410-225-9351
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA01717224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant