MEDICARE: GINA S CHEWNING

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	31004371A	IN
2	225XH1200X	Hand Occupational Therapist	OT007117	OH

General Provider Information

NPI Number	:	1164595104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA S CHEWNING

Provider Business Mailing Address
First Line	:	6277 SAVANNAH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1913
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 ALBERT SABIN WAY STE 1021
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-2120
Country	:	US
Telephone Number	:	513-221-0325
Fax Number	:

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	12/14/2021

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Directions to “ GINA S CHEWNING ” Practice Location

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