Provider Demographics
NPI:1912313784
Name:OSSIAN, CYNTHIA (COTA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:OSSIAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:KARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 FOULK RD
Mailing Address - Street 2:APARTMENT 4C5
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3804
Mailing Address - Country:US
Mailing Address - Phone:720-675-3337
Mailing Address - Fax:
Practice Address - Street 1:400 FOULK RD
Practice Address - Street 2:APARTMENT 4C5
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3804
Practice Address - Country:US
Practice Address - Phone:720-675-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007908224Z00000X
DEU2-0001483224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant