Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marian Rose Wynn, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1396176285

Marian Rose Wynn, COTA/L is an Occupational Therapy Assistant in Port Jeff Sta, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

5225 Nesconset Hwy Ste 30
Port Jeff Sta, NY 11776-2060
Phone: (631) 473-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 008016 (NY)

Record details

NPI number1396176285
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013