Provider Demographics
NPI:1497567549
Name:DIMASI, DONNA MARIE (COTA)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:DIMASI
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13435 W 65TH DR UNIT 8
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2189
Mailing Address - Country:US
Mailing Address - Phone:303-919-0325
Mailing Address - Fax:
Practice Address - Street 1:8250 W 80TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4496
Practice Address - Country:US
Practice Address - Phone:970-667-0348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA.0000047224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant