NPI 1174204010 · live from the CMS NPI Registry
Karla Levering Anzivino, OTD
Occupational Therapist in Beachwood, OH. National Provider Identifier 1174204010, active.
NPI record
| NPI | 1174204010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 23775 Greenlawn Ave, Beachwood, OH 44122 |
| Practice phone | 216-223-8761 |
| Mailing address | 2701 W 14th St # Up, Cleveland, OH 44113 |
| Enumerated | July 25, 2023 |
| Last updated | July 25, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | OT012524 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.