Individual
ANASTAZIA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2761 RICHMOND HWY STE 105, STAFFORD, VA 22554-8330
(540) 699-3877
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
0131002817
VA
Other
Enumeration date
01/25/2023
Last updated
02/13/2025
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