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)
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Organization Overview
MINDFUL MOMENTS PEDIATRIC THERAPY & WELLNESS CENTER, LLC operates in Hunlock Creek, Pennsylvania, and also appears publicly as Mindful Moments Pediatric Therapy and Wellness Center. Public trademark records for the exact name list occupational therapy services and yoga instruction. The organization was also listed as a local vendor at a Spring into Health Fair featuring pediatric occupational and speech therapy activities, including sensory-bin activities and crafts.
Full Record
- NPI
- 1538756226
- Entity Type
- Organization
- 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 1
- 193400000X Single Specialty Group
- Certification Date
- December 29, 2020
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X), Clinic/Center (261Q00000X)
- Other Identifiers
- 1036058570001 (PA)