Provider Demographics
NPI:1346367760
Name:CASH, TONI KOOTSIKAS (OT)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:KOOTSIKAS
Last Name:CASH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:GEORGETTE
Other - Last Name:KOOTSIKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:13 JAMESTOWN CT
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7697
Mailing Address - Country:US
Mailing Address - Phone:540-720-9022
Mailing Address - Fax:
Practice Address - Street 1:11 DAIRY LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2663
Practice Address - Country:US
Practice Address - Phone:540-371-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001928225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist