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General NPI Number Information
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NPI Number | 1295859494
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Entity Type | Individual
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Provider Name | MARYANN REID COTA, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 269 W MAIN ST
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2381
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Country | US
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Telephone | 508-380-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 269 W MAIN ST
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2381
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Country | US
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Telephone | 508-380-3937
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 1856
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 918
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License Number State | MA
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