Organization
EASTER SEALS TRISTATE, LLC
Active
Other names
Easterseals Redwood
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM GREEN (PRESIDENT/CEO)
(513) 281-2316
Entity
Organization
Contact information
Practice address
2840 MEIROSE AVE, CINCINNATI, OH 45206
(513) 281-2316
Mailing address
2901 GILBERT AVE, CINCINNATI, OH 45206-1211
(513) 281-2316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065757
—
OH
Enumeration date
02/27/2017
Last updated
07/21/2023
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