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Organization

ELEMENTAL OT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE M FABIAN OTR/L (CEO)
(440) 567-6274
Entity
Organization

Contact information

Practice address
5380 HARDT RD, GIBSONIA, PA 15044-9165
(440) 567-6274
Mailing address
5380 HARDT RD, GIBSONIA, PA 15044-9165
(440) 567-6274

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780298935
NPI NUMBER
OH
Enumeration date
04/25/2025
Last updated
04/25/2025
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