Organization
ENVISION INDEPENDENCE REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANN DIETEMAN OT (OWNER AND DIRECTOR)
(724) 900-4633
Entity
Organization
Contact information
Practice address
108 BUTTERCUP DR, CRANBERRY TWP, PA 16066-6314
(724) 900-4633
Mailing address
108 BUTTERCUP DR, CRANBERRY TWP, PA 16066-6314
(724) 900-4633
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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