Healthcare Provider Details

I. General information

NPI: 1225805401
Provider Name (Legal Business Name): LITTLE CHEFS PEDIATRIC FEEDING THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7513 ASHLEY MEADOW DR
BLACKLICK OH
43004-7043
US

IV. Provider business mailing address

7513 ASHLEY MEADOW DR
BLACKLICK OH
43004-7043
US

V. Phone/Fax

Practice location:
  • Phone: 614-209-2529
  • Fax:
Mailing address:
  • Phone: 614-209-2529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE PATRICIA SARABIA
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOTR/L.
Phone: 614-209-2529