Marisol Arellano, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Madison, VA
NPI 1124604376 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1124604376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131000959 (VA)
- Practice address
- 1 Autumn CT
Madison, VA 22727-3028 - Phone
- (844) 334-3818
- NPI assigned
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131000959 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000959 | VA | Yes |
Addresses
Primary practice location
1 Autumn CT
Madison, VA 22727-3028
Mailing address
5418 Golden CT
Roanoke, VA 24012-8558
Phone (434) 270-2220
Other providers in Madison, VA
- ABA Behavioral Group LLC
- Autumn Corporation
- Terese Cioffredi-Holte
- Commonwealth of Virginia State Board of Health
- Andrea U. Courtney
- Walter Crigler
All providers in Madison, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.