Healthcare Provider Details

I. General information

NPI: 1609713049
Provider Name (Legal Business Name): MARY BEILER COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725B OREGON PIKE STE 205
LANCASTER PA
17601-4201
US

IV. Provider business mailing address

85 ROSALIA CIR
YORK PA
17402-7796
US

V. Phone/Fax

Practice location:
  • Phone: 484-367-7131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP008417
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: