Organization
NATURES EDGE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA L BROCK MOT (OWNER)
(513) 284-9539
Entity
Organization
Contact information
Practice address
1127 E SALTAIR BLF, BETHEL, OH 45106-7830
(513) 284-9539
Mailing address
1127 E SALTAIR BLF, BETHEL, OH 45106-7830
(513) 284-9539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238407
—
OH
Enumeration date
02/07/2023
Last updated
02/07/2023
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