IndividualActive
Aisha Johnson, COTA
NPI 1063120434 · Occupational Therapy Assistant · Virginia Beach, VA
Provider details
- NPI number
- 1063120434
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 0131002764 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone: (757) 490-3223
Approximate (ZIP-level) locationGet directions
Mailing address
5717 Lenox Dr
Virginia Beach, VA 23455-2340
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.