Healthcare Provider Details

I. General information

NPI: 1033717186
Provider Name (Legal Business Name): SARAH ANN LYNSEY NORTON COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 HARVEY RD
LONDONDERRY NH
03053-7449
US

IV. Provider business mailing address

156 HARVEY RD
LONDONDERRY NH
03053-7449
US

V. Phone/Fax

Practice location:
  • Phone: 800-657-6517
  • Fax:
Mailing address:
  • Phone: 800-657-6517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number010167-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP010082
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: