Healthcare Provider Details

I. General information

NPI: 1780824250
Provider Name (Legal Business Name): KATRINA COTTER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATRINA PATASKA

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 H F BROWN WAY
NATICK MA
01760-3889
US

IV. Provider business mailing address

1 H F BROWN WAY
NATICK MA
01760-3889
US

V. Phone/Fax

Practice location:
  • Phone: 508-647-1633
  • Fax: 508-647-1634
Mailing address:
  • Phone: 508-647-1633
  • Fax: 508-647-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23568
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: