Healthcare Provider Details

I. General information

NPI: 1871414219
Provider Name (Legal Business Name): ROBIN CALLAHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 WOOSTER RD
ROCKY RIVER OH
44116-4181
US

IV. Provider business mailing address

1690 W 69TH ST
CLEVELAND OH
44102-2984
US

V. Phone/Fax

Practice location:
  • Phone: 440-333-1880
  • Fax:
Mailing address:
  • Phone: 267-815-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number013697
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: