| Mindful Moments Pediatric Therapy & Wellness Center, Llc | |
|
2449 State Route 118 Ste 2 Hunlock Creek PA 18621-5022 | |
| (570) 690-4908 | |
| Not Available |
| Full Name | Mindful Moments Pediatric Therapy & Wellness Center, Llc |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 2449 State Route 118 Ste 2, Hunlock Creek, Pennsylvania |
| Authorized Official Name and Position | Ashley Nicole Grevera (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 5706904908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Moments Pediatric Therapy & Wellness Center, Llc 2449 State Route 118 Ste 2 Hunlock Creek PA 18621-5022 Ph: () - | Mindful Moments Pediatric Therapy & Wellness Center, Llc 2449 State Route 118 Ste 2 Hunlock Creek PA 18621-5022 Ph: (570) 690-4908 |
| NPI Number | 1538756226 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538756226 | NPI | - | NPPES |
| 1036058570001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |