Provider Demographics
NPI:1790403483
Name:SKIBA, ABIGAIL (OTR/L, OTD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:SKIBA
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:E
Other - Last Name:BERNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, OTD
Mailing Address - Street 1:7720 ERIE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7720 ERIE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-3729
Practice Address - Country:US
Practice Address - Phone:419-824-8611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT012023225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist