Healthcare Provider Details

I. General information

NPI: 1841615804
Provider Name (Legal Business Name): CHRISTINE MCCALL OTR/L, COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ERIE HWY STE A
HAMILTON OH
45011-4264
US

IV. Provider business mailing address

180 GREENDALE DR
DAYTON OH
45429-1502
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-3710
  • Fax:
Mailing address:
  • Phone: 937-671-0368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA-2804
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number011587
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: