Active NPIIndividual providerSole proprietor

Mrs. Coretta A Warren, COTA

Occupational Therapy Assistant in Agawam, Massachusetts

NPI Number1912653478
Practice location
55 Cooper St, Agawam, MA 01001-2149
Fax
—
Last updated
February 25, 2022

Coretta Andrea Warren is an Occupational Therapy Assistant based in Agawam, MA. Coretta Andrea Warren practices in Agawam, MA and has the professional credentials of COTA. The NPI Number for Coretta Andrea Warren is 1912653478 and holds a License No. 4757 (MA). The current practice location address for Coretta Andrea Warren is 55 Cooper St, Agawam, MA 01001-2149 and can be reached out via phone at 413-333-2400.

Provider Profile Details

NPI Number
1912653478
Provider Name
Coretta Andrea Warren
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
55 Cooper St, Agawam, MA 01001-2149
Phone Number
413-333-2400
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2022
Last Update Date
February 25, 2022
Certification Date
February 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Cooper St
Agawam, MA 01001-2149
City
Agawam
Zip
01001-2149
Phone Number
413-333-2400
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
55 Cooper St
Agawam, MA 01001-2149
City
Agawam
State
MA
Zip
01001-2149
Phone Number
413-333-2400

License Information

License Number
4757
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Coretta A Warren, COTA?

The NPI number of Mrs. Coretta A Warren, COTA is 1912653478. It was assigned on February 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Coretta A Warren, COTA?

Mrs. Coretta A Warren, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 4757.

Where does Mrs. Coretta A Warren, COTA practice?

The practice location is 55 Cooper St, Agawam, MA 01001-2149. The office can be reached at 413-333-2400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912653478 directly on the NPPES registry website.

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