Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Enamulhaq Mirzay, COTA

Individual provider Occupational Therapy Assistant · NPI 1497418610

Enamulhaq Mirzay, COTA is an Occupational Therapy Assistant in Stockton, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1319 N Madison St
Stockton, CA 95202-1001
Phone: (209) 466-4341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X (CA)

Record details

NPI number1497418610
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

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