Provider Demographics
NPI:1730566985
Name:COTTON, ANNA ROSE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ROSE
Last Name:COTTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:ROSE
Other - Last Name:INGRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40000
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-7520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:181 W MEADOW DR
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5242
Practice Address - Country:US
Practice Address - Phone:970-471-1884
Practice Address - Fax:970-470-6653
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003830225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist