Provider Demographics
NPI:1659902823
Name:COTUNA, EVA MARIA (OTD)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:MARIA
Last Name:COTUNA
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 BOILING SPRINGS RD STE 9
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-1995
Mailing Address - Country:US
Mailing Address - Phone:864-978-6117
Mailing Address - Fax:
Practice Address - Street 1:1400 BOILING SPRINGS RD STE 9
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-1995
Practice Address - Country:US
Practice Address - Phone:864-978-6117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5732225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics