Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Agnes Pavao, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1356576862

Mrs. Mary Agnes Pavao, COTA/L is an Occupational Therapy Assistant in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
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

1904 Glen Lakes Cir N Therapy Playhouse
St Petersburg, FL 33702
Phone: (727) 423-0060
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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 OTA 10884 (FL)

Record details

NPI number1356576862
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 28, 2009
Last updated in NPPESMay 28, 2009

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