IndividualActive
Anastazia Gross, COTA
NPI 1477269355 · Occupational Therapy Assistant · Stafford, VA
Provider details
- NPI number
- 1477269355
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
2761 Richmond Hwy Ste 105
Stafford, VA 22554-8330
Phone: (540) 699-3877
Approximate (ZIP-level) locationGet directions
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.