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NPI Code Detail

MEDICARE: TRISHA TREBONI OT

MEDICARE: TRISHA TREBONI OT
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
1225X00000XOccupational TherapistOT005121OH

General Provider Information

NPI Number : 1720339468
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA TREBONI OT
Provider Business Mailing Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3044 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1922
Country : US
Telephone Number : 614-227-6952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2012
Last Update Date : 02/03/2025

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Directions to “ TRISHA TREBONI OT” Practice Location

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