Carrie L Italiano, OT.006754
Individual provider Active NPI Occupational Therapist · 1: Struthers, OH
NPI 1821689753 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1821689753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 006754 (OH)
- Practice address
- 192 Morrison Street
1: Struthers, OH 44471 - NPI assigned
- Feb 2, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006754 | OH | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006754 | OH | Yes |
Addresses
Primary practice location
192 Morrison Street
1: Struthers, OH 44471
Mailing address
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 1
192 Morrison St
Struthers, OH 44471-1718
Other practice location 2
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 3
192 Morrison Street
1: Struthers, OH 44471
Other practice location 4
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 5
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 6
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 7
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Other practice location 8
192 Morrison St
Struthers, OH 44471-1718
Other practice location 9
192 Morrison St
Struthers, OH 44471-1718
Phone (330) 550-7430
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.