Provider Demographics
NPI:1518133941
Name:COTTON, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:COTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9636 WATER FERN CIR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6650
Mailing Address - Country:US
Mailing Address - Phone:352-227-4291
Mailing Address - Fax:352-227-4291
Practice Address - Street 1:9636 WATER FERN CIR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6650
Practice Address - Country:US
Practice Address - Phone:352-227-4291
Practice Address - Fax:352-227-4291
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor