Most Relevant Information
Provider Data
| NPI Number: | 1003541913 |
| Provider Name: | MARTINA W SADIK COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 0131002640 |
Most Important Dates
| Enumeration Date: | 07/24/2022 |
| Last Updated: | 07/24/2022 |
Provider Practice Location
44376 AGAWAM TER
ASHBURN
VA
201476484
Practice Location Phone/Fax
| Phone: | 9178544614 |
| Fax: |
Provider Mailing Location
44376 AGAWAM TER
ASHBURN
VA
201476484
Provider Mailing Phone/Fax
| Phone: | 9178544614 |
| Fax: |