MEDICARE: ANITA MEHTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC004254L	PA

General Provider Information

NPI Number	:	1154572519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA MEHTA

Provider Business Mailing Address
First Line	:	2103 CHABLIS CT
Second Line	:
City	:	GIBSONIA
State	:	PA
Zip	:	15044-7467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 SAINT FRANCIS WAY
Second Line	:	SUITE 205
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5122
Country	:	US
Telephone Number	:	724-772-5340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2008
Last Update Date	:	10/03/2008

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Directions to “ ANITA MEHTA ” Practice Location

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