Basic Information
Provider Information
NPI: 1295967305
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: CATHERINE
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: COTA/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2301 CASTLEFORD TER
Address2:  
City: MIDLOTHIAN
State: VA
PostalCode: 231136469
CountryCode: US
TelephoneNumber: 8045943867
FaxNumber:  
Practice Location
Address1: 1000 TWINRIDGE LN
Address2:  
City: RICHMOND
State: VA
PostalCode: 232355248
CountryCode: US
TelephoneNumber: 8043205629
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2009
LastUpdateDate: 08/24/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
224Z00000X0131000105VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 

No ID Information.


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