Organization
QUEEN CITY PELVIC HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKHI SRIVASTAVA MOT, OTR/L (OCCUPATIONAL THERAPIST)
(513) 238-0952
Entity
Organization
Contact information
Practice address
7745 5 MILE RD, CINCINNATI, OH 45230-2355
(513) 238-0952
Mailing address
1068 PORTWAY DR, CINCINNATI, OH 45255-4477
(513) 238-0952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.007676
OHIO PTOTAT BOARD
OH
Enumeration date
12/22/2021
Last updated
12/22/2021
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