Healthcare Provider Details

I. General information

NPI: 1861371510
Provider Name (Legal Business Name): PAULINA GARCZAREK COTA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14565 SIMS RD
DELRAY BEACH FL
33484-8549
US

IV. Provider business mailing address

5335 HAVASU CT
GREENACRES FL
33467-5533
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax:
Mailing address:
  • Phone: 973-666-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: