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NPI Code Detail

MEDICARE: BRITTANY GRESKOVICH

MEDICARE: BRITTANY GRESKOVICH
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
1224Z00000XOccupational Therapy AssistantOTA00617OH

General Provider Information

NPI Number : 1922958933
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY GRESKOVICH
Provider Business Mailing Address
First Line : 113 WASHINGTON AVE
Second Line :
City : NILES
State : OH
Zip : 44446-3138
Country : US
Telephone Number : 330-540-4494
Fax Number :
Provider Business Practice Location Address
First Line : 113 WASHINGTON AVE
Second Line :
City : NILES
State : OH
Zip : 44446-3138
Country : US
Telephone Number : 330-540-4494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ BRITTANY GRESKOVICH ” Practice Location

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