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

Individual provider Occupational Therapy Assistant · NPI 1588795512

Mrs. Mary Lou Peacock, COTA is an Occupational Therapy Assistant in Buffalo, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-3949
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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 002010-1 (NY)

Record details

NPI number1588795512
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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