Beverly Rank, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Graytown, OH

NPI 1033533286 · NPPES record last updated Feb 8, 2014

Key facts

NPI
1033533286
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA.04231 (OH)
Practice address
1661 N Walker St
Graytown, OH 43432-9800
Phone
(419) 627-3900
NPI assigned
Feb 8, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA.04231OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.04231 OH Yes

Addresses

Primary practice location

1661 N Walker St
Graytown, OH 43432-9800

Mailing address

1661 N Walker St
Graytown, OH 43432-9800
Phone (419) 627-3900

Other providers in Graytown, OH

All providers in Graytown, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.