Provider Demographics
NPI:1407490436
Name:JAMES, EMMA (COTA)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:JAMES
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 1:6 FORDING PLACE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE KATRINE
Mailing Address - State:NY
Mailing Address - Zip Code:12449-5209
Mailing Address - Country:US
Mailing Address - Phone:845-324-1605
Mailing Address - Fax:
Practice Address - Street 1:6 FORDING PLACE RD
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5209
Practice Address - Country:US
Practice Address - Phone:845-324-1605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-02
Last Update Date:2019-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant