MEDICARE: TEHILLA GREENBERGER

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	OT-4080	OH

General Provider Information

NPI Number	:	1356751432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEHILLA GREENBERGER

Provider Business Mailing Address
First Line	:	3825 BERKELEY RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1944
Country	:	US
Telephone Number	:	216-571-1130
Fax Number	:

Provider Business Practice Location Address
First Line	:	736 LAKEVIEW RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-2608
Country	:	US
Telephone Number	:	216-541-2048
Fax Number	:

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

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	04/29/2014

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Directions to “ TEHILLA GREENBERGER ” Practice Location

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