Provider Demographics
NPI: | 1972797736 |
---|---|
Name: | OCCUPATIONAL DESIGNS AND REHAB SERVICES |
Entity type: | Organization |
Organization Name: | OCCUPATIONAL DESIGNS AND REHAB SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TIMOTHY |
Authorized Official - Middle Name: | ANDREW |
Authorized Official - Last Name: | DIRR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MOT, OTR/L |
Authorized Official - Phone: | 513-205-7002 |
Mailing Address - Street 1: | 5038 STELLAR CT |
Mailing Address - Street 2: | |
Mailing Address - City: | LIBERTY TOWNSHIP |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45044-8951 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 513-205-7002 |
Mailing Address - Fax: | 513-755-9924 |
Practice Address - Street 1: | 5038 STELLAR CT |
Practice Address - Street 2: | |
Practice Address - City: | LIBERTY TOWNSHIP |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45044-8951 |
Practice Address - Country: | US |
Practice Address - Phone: | 513-205-7002 |
Practice Address - Fax: | 513-755-9924 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-09-04 |
Last Update Date: | 2007-09-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 6088 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |