Provider Demographics
NPI:1700588555
Name:PRESTON, TOMI MARIE (COTA/L)
Entity type:Individual
Prefix:
First Name:TOMI
Middle Name:MARIE
Last Name:PRESTON
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 1:4314 GRAVATT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT CRAWFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22841-2611
Mailing Address - Country:US
Mailing Address - Phone:540-810-2373
Mailing Address - Fax:
Practice Address - Street 1:9986 SPOTSWOOD TRL
Practice Address - Street 2:
Practice Address - City:MCGAHEYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22840-2421
Practice Address - Country:US
Practice Address - Phone:540-289-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131002786224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant