NPI 1174995047 · live from the CMS NPI Registry
A Pediatric Occupational Therapy INC.
Home Health in Edwardsville, IL. National Provider Identifier 1174995047, active.
NPI record
| NPI | 1174995047 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1303 Gerber Woods Dr, Edwardsville, IL 62025 |
| Practice phone | 618-531-5353 |
| Enumerated | October 30, 2015 |
| Last updated | October 30, 2015 |
| Authorized official | Diane Gassiraro, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.