Organization
ENVISION INDEPENDENCE REHAB SERVICES LLC
Active
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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