Healthcare Provider Details

I. General information

NPI: 1255562427
Provider Name (Legal Business Name): TRINA FIRMI OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 BLUE JAY CIR
BELLVILLE OH
44813-1295
US

IV. Provider business mailing address

453 BLUE JAY CIR
BELLVILLE OH
44813-1295
US

V. Phone/Fax

Practice location:
  • Phone: 419-566-8398
  • Fax:
Mailing address:
  • Phone: 419-566-8398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4849
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: