National Provider Identifier
Mindful Moments Pediatric Therapy & Wellness Center, LLC
Mindful Moments Pediatric Therapy & Wellness Center, LLC is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Hunlock Creek, PA and a listed phone number of (570) 690-4908.
Source: public NPPES record, last updated December 29, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1538756226
- Provider Type
- Organization
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- December 29, 2020
- Last Updated
- December 29, 2020
Practice Location
- 2449 State Route 118 Ste 2
- Hunlock Creek, PA 18621-5022
Phone: (570) 690-4908
Authorized Official
- Name
- Ashley Nicole Grevera
- Title
- Occupational Therapist
- Credentials
- OTR/L
- Phone
- (570) 690-4908
Specialties
- Pediatric Occupational Therapist (225XP0200X)
- Clinic/Center (261Q00000X)
Endpoints
- alison.shepherd@redcross.org
Direct Messaging Address | Hunlock Creek, PA 18621
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Full Record
- NPI
- 1538756226
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Mindful Moments Pediatric Therapy & Wellness Center, LLC
- Mailing Street Address
- 2449 State Route 118 Ste 2
- Mailing City
- Hunlock Creek
- Mailing State
- PA
- Mailing ZIP Code
- 18621-5022
- Mailing Country
- US
- Practice Street Address
- 2449 State Route 118 Ste 2
- Practice City
- Hunlock Creek
- Practice State
- PA
- Practice ZIP Code
- 18621-5022
- Practice Country
- US
- Practice Phone
- (570) 690-4908
- Enumeration Date
- December 29, 2020
- Last Updated
- December 29, 2020
- Authorized Official Last Name
- Grevera
- Authorized Official First Name
- Ashley
- Authorized Official Middle Name
- Nicole
- Authorized Official Title
- Occupational Therapist
- Authorized Official Phone
- (570) 690-4908
- Organization Subpart
- No
- Authorized Official Credential Text
- OTR/L
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- December 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X), Clinic/Center (261Q00000X)
- Other Identifiers
- 1036058570001 (PA)