Provider Demographics
NPI:1114644259
Name:LITTLE BLESSINGS OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:LITTLE BLESSINGS OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STROUP
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:937-779-2328
Mailing Address - Street 1:4890 BRIER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-8960
Mailing Address - Country:US
Mailing Address - Phone:937-779-2328
Mailing Address - Fax:
Practice Address - Street 1:4890 BRIER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-8960
Practice Address - Country:US
Practice Address - Phone:937-779-2328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty