MEDICARE: MRS. TONIA MARILU JOSEPH-ARMSTRONG COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	A01885	MD
2	224Z00000X	Occupational Therapy Assistant	OTA100000230	DC
3	224Z00000X	Occupational Therapy Assistant	OP006812	PA

General Provider Information

NPI Number	:	1144660960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONIA MARILU JOSEPH-ARMSTRONG COTA/L

Provider Business Mailing Address
First Line	:	708 GLACIER AVE
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-2837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 GLACIER AVE
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-2837
Country	:	US
Telephone Number	:	412-805-0335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	06/25/2013

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