Shraddha Bambhroliya

Individual provider Active NPI Occupational Therapist · Drums, PA

NPI 1467053678 · NPPES record last updated Nov 4, 2020

Key facts

NPI
1467053678
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC015789 (PA)
Practice address
149 S Hunter Hwy
Drums, PA 18222-2422
Phone
(570) 708-2615
NPI assigned
Nov 4, 2020
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
OC015789PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC015789 PA Yes

Addresses

Primary practice location

149 S Hunter Hwy
Drums, PA 18222-2422

Mailing address

149 S Hunter Hwy
Drums, PA 18222-2422
Phone (570) 708-2615

Other providers in Drums, PA

All providers in Drums, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.