Provider Demographics
NPI:1073633608
Name:ARAUJO, MARINA L (COTA)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:L
Last Name:ARAUJO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E WORDELL ST
Mailing Address - Street 2:
Mailing Address - City:S DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-1635
Mailing Address - Country:US
Mailing Address - Phone:508-996-3273
Mailing Address - Fax:
Practice Address - Street 1:8 E WORDELL ST
Practice Address - Street 2:
Practice Address - City:S DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-1635
Practice Address - Country:US
Practice Address - Phone:508-996-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2425224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant