Provider Demographics
NPI:1265576730
Name:BELL, AVA MARIA (COTA)
Entity type:Individual
Prefix:MRS
First Name:AVA
Middle Name:MARIA
Last Name:BELL
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18154 SAN ROSA BLVD
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2632
Mailing Address - Country:US
Mailing Address - Phone:248-443-0887
Mailing Address - Fax:248-443-0887
Practice Address - Street 1:729 W ANN ARBOR TRL
Practice Address - Street 2:SUITE 200
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1631
Practice Address - Country:US
Practice Address - Phone:734-414-7056
Practice Address - Fax:734-414-9925
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAA586776224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant