Pamela Raber, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Newcomerstown, OH

NPI 1891064622 · NPPES record last updated Dec 22, 2011

Key facts

NPI
1891064622
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA-01121 (OH)
Practice address
1100 E State Rd
Newcomerstown, OH 43832-9446
Phone
(740) 498-4444
Fax
(740) 498-7165
NPI assigned
Dec 22, 2011
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
OTA-01121OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-01121 OH Yes

Addresses

Primary practice location

1100 E State Rd
Newcomerstown, OH 43832-9446

Mailing address

1100 E State Rd
Newcomerstown, OH 43832-9446
Phone (740) 498-4444

Other providers in Newcomerstown, OH

All providers in Newcomerstown, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.