Healthcare Provider Details

I. General information

NPI: 1720693237
Provider Name (Legal Business Name): JOCELYN GUILD COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 BLUEBERRY LN
LACONIA NH
03246-2918
US

IV. Provider business mailing address

107 WASHINGTON ST APT 3
HAVERHILL MA
01832-5707
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-3340
  • Fax:
Mailing address:
  • Phone: 978-852-6038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4588
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberEL34295
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: