Provider Demographics
NPI:1003026774
Name:ARSAGA-MAZZONE, MARIA ASUNCION ANTHEA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ASUNCION ANTHEA
Last Name:ARSAGA-MAZZONE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:ASUNCION
Other - Last Name:ARSAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 BEAUMONT RD
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-2511
Mailing Address - Country:US
Mailing Address - Phone:978-258-6081
Mailing Address - Fax:
Practice Address - Street 1:32 BEAUMONT RD
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-2511
Practice Address - Country:US
Practice Address - Phone:978-258-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1941224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant