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

Individual provider Occupational Therapy Assistant · NPI 1912446469

Nicole Black, COTA is an Occupational Therapy Assistant in Mesa, Arizona. Registered with an NPI since 2017.

In the registry since
2017
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

551 S Higley Rd
Mesa, AZ 85206-2148
Phone: (480) 892-9777
Fax: (480) 635-0222
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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

Record details

NPI number1912446469
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 16, 2017
Last updated in NPPESFebruary 17, 2017

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