Richard E. Cichowicz, ORTL

Individual provider Active NPI Occupational Therapist · Bellaire, OH

NPI 1821146150 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821146150
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT005453 (OH)
Practice address
4697 Harrison St
Bellaire, OH 43906-1338
Phone
(740) 671-1436
Fax
(740) 671-1210
NPI assigned
Jan 5, 2007
Sex
Male
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
OT005453OHMDOccupational Therapist
OC005950LPAMDOccupational Therapist
OT818WVMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005453 OH Yes
Occupational Therapist 225X00000X OT818 WV
Occupational Therapist 225X00000X OC005950L PA

Addresses

Primary practice location

4697 Harrison St
Bellaire, OH 43906-1338

Mailing address

4697 Harrison St
Bellaire, OH 43906-1338
Phone (740) 671-1436

Other providers in Bellaire, OH

All providers in Bellaire, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.