Provider Demographics
NPI:1982577607
Name:DO NASCIMENTO VIEIRA, MARIANA (COTA/L)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:DO NASCIMENTO VIEIRA
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 1:12610 CASWELL AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-7718
Mailing Address - Country:US
Mailing Address - Phone:310-985-9563
Mailing Address - Fax:
Practice Address - Street 1:3233 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-3640
Practice Address - Country:US
Practice Address - Phone:323-734-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7171224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant