Healthcare Provider Details

I. General information

NPI: 1205760816
Provider Name (Legal Business Name): MARIE DENISE JOSEPH COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 FAIRWINDS CT
SALISBURY MD
21801-7450
US

IV. Provider business mailing address

1017 FAIRWINDS CT
SALISBURY MD
21801-7450
US

V. Phone/Fax

Practice location:
  • Phone: 443-497-5127
  • Fax:
Mailing address:
  • Phone: 443-497-5127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberA03199
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: