Mindful Moments Pediatric Therapy & Wellness Center, LLC

NPI #1538756226 in Hunlock Creek, Pennsylvania

Provider Information

NPI Number: 1538756226
Entity Type: Organization
Organization Name: Mindful Moments Pediatric Therapy & Wellness Center, LLC
Primary Specialty: Occupational Therapist - Pediatrics
Enumeration Date: Dec 29, 2020
Last Updated: Dec 29, 2020

Practice Location

Address: 2449 STATE ROUTE 118 STE 2
City: Hunlock Creek
State: Pennsylvania
ZIP Code: 18621-5022
Phone: (570) 690-4908

Authorized Official

Name: ASHLEY NICOLE GREVERA, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (570) 690-4908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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