Mandy L McCowin, MOT, OTR/L

Individual provider Active NPI Occupational Therapist · Lisbon, OH

NPI 1760809404 · NPPES record last updated Mar 19, 2014

Key facts

NPI
1760809404
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT 006968 (OH)
Practice address
38720 Saltwell Rd
Lisbon, OH 44432-8303
Phone
(330) 424-9591
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 006968OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana County Educational Service Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 006968 OH Yes

Addresses

Primary practice location

38720 Saltwell Rd
Lisbon, OH 44432-8303

Mailing address

49404 Pioneer Rd
Negley, OH 44441-9755
Phone (330) 831-5233

Other providers in Lisbon, OH

All providers in Lisbon, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.