Healthcare Provider Details

I. General information

NPI: 1598458747
Provider Name (Legal Business Name): MARGARET DENISE BUEHLER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 FOREST ST
PEABODY MA
01960-3907
US

IV. Provider business mailing address

4 1ST ST APT 7002
SALEM MA
01970-7217
US

V. Phone/Fax

Practice location:
  • Phone: 978-532-0303
  • Fax:
Mailing address:
  • Phone: 773-937-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4874
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: