Provider Demographics
NPI:1770256570
Name:D'ASTRII, FLORIIN NATASHA (COTA/ L)
Entity Type:Individual
Prefix:
First Name:FLORIIN
Middle Name:NATASHA
Last Name:D'ASTRII
Suffix:
Gender:F
Credentials:COTA/ L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 ICE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5791
Mailing Address - Country:US
Mailing Address - Phone:571-991-0645
Mailing Address - Fax:
Practice Address - Street 1:3821 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1981
Practice Address - Country:US
Practice Address - Phone:703-465-5017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131002525224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant