Betsy Anne Gambone, OTRL

Individual provider Active NPI Occupational Therapist · Lithopolis, OH

NPI 1124186077 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124186077
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT-5926 (OH)
Practice address
414 Market St
Lithopolis, OH 43136-9738
Phone
(614) 834-8752
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

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
OT-5926OHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-5926 OH Yes

Addresses

Primary practice location

414 Market St
Lithopolis, OH 43136-9738

Mailing address

414 Market St
Lithopolis, OH 43136-9738

Other providers in Lithopolis, OH

All providers in Lithopolis, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.