Healthcare Provider Details

I. General information

NPI: 1043143597
Provider Name (Legal Business Name): EMILY E ALLEN COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LYMAN ST
WESTBOROUGH MA
01581-1404
US

IV. Provider business mailing address

40 STONEY BROOK RD
LEBANON NH
03766-2100
US

V. Phone/Fax

Practice location:
  • Phone: 774-393-1849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA25045
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: