Rebecca Ann Grandi, OT

Individual provider Active NPI Occupational Therapist · Everett, PA

NPI 1508030099 · NPPES record last updated Jan 24, 2012

Key facts

NPI
1508030099
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC010359 (PA)
Practice address
10455 Lincoln Hwy
Everett, PA 15537-7046
Phone
(814) 623-3572
NPI assigned
Apr 16, 2008
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
OC010359PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010359 PA Yes

Addresses

Primary practice location

10455 Lincoln Hwy
Everett, PA 15537-7046

Mailing address

256 N Clear Ridge Rd
Hustontown, PA 17229-9370

Other providers in Everett, PA

All providers in Everett, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.