MEDICARE: SKILLS AND STEPS PEDIATRIC OCCUPATIONAL THERAPY, LLC

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

General Provider Information

NPI Number	:	1790629624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKILLS AND STEPS PEDIATRIC OCCUPATIONAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	13547 HOLSINGER BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-8646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13547 HOLSINGER BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-8646
Country	:	US
Telephone Number	:	909-632-3252
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	ASHNA TALWAR
Credential	:	MSOT, OTR/L
Telephone Number	:	909-632-3252

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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