MEDICARE: MARY ELLEN BUDANIW COTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OP003514L	PA

General Provider Information

NPI Number	:	1467578369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELLEN BUDANIW COTA

Provider Business Mailing Address
First Line	:	1137 CHESWORTH RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2024
Country	:	US
Telephone Number	:	215-673-6230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 CHESWORTH RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2024
Country	:	US
Telephone Number	:	215-673-6230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1174565428 — MS. KATHLEEN ROWAN MAHONEY CRNP, MSN, PHD
Practice Location Address:

1900 N 9TH ST , SUITE 104
PHILADELPHIA, PA
19122-2024

Practice Phone: 215-765-6690
Practice Fax: 215-765-6694

1457362154 — NORTH WEST PHARMACY INC.
Practice Location Address:

2024 N 22ND ST
PHILADELPHIA, PA
19121-1407

Practice Phone: 215-232-9222
Practice Fax: 215-232-9822

1659594778 — DR. FARRELL R. SILVERBERG PH.D.
Practice Location Address:

2024 LOCUST ST
PHILADELPHIA, PA
19103-5614

Practice Phone: 215-545-1096
Practice Fax:

1992957716 — MRS. SUZANNE MARCHEI OTR/L
Practice Location Address:

3224 LONGSHORE AVE
PHILADELPHIA, PA
19149-2024

Practice Phone: 215-331-7079
Practice Fax: 215-331-6370

1306277132 — MISS MICHELLE ELIZABETH BUCHHOLZ RN
Practice Location Address:

1900 N 9TH ST
PHILADELPHIA, PA
19122-2024

Practice Phone: 215-765-6690
Practice Fax:

1871901819 — NAAMAH CASHAW-TAYLOR
Practice Location Address:

1900 N 9TH ST
PHILADELPHIA, PA
19122-2024

Practice Phone: 215-765-6690
Practice Fax:

Directions to “ MARY ELLEN BUDANIW COTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.