Hope Ann Bubeck, M.S., OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Schuylkill Haven, PA

NPI 1366764706 · NPPES record last updated Feb 26, 2010

Key facts

NPI
1366764706
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OC005752L (PA)
Practice address
247 Paxson Ave
Schuylkill Haven, PA 17972-1139
Phone
(570) 807-6420
NPI assigned
Feb 26, 2010
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC005752LPAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC005752L PA
Pediatric Occupational Therapist 225XP0200X OC005752L PA Yes

Addresses

Primary practice location

247 Paxson Ave
Schuylkill Haven, PA 17972-1139

Mailing address

247 Paxson Ave
Schuylkill Haven, PA 17972-1139

Other providers in Schuylkill Haven, PA

All providers in Schuylkill Haven, PA · Pediatric Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.