1154634608 NPI number — TISHA CROVETTI MS, OTR/L

Table of content: TISHA CROVETTI MS, OTR/L (NPI 1154634608)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154634608 NPI number — TISHA CROVETTI MS, OTR/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CROVETTI
Provider First Name:
TISHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, OTR/L
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154634608
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BOX 298
Provider Second Line Business Mailing Address:
4128 SURREY LANE
Provider Business Mailing Address City Name:
SKIPPACK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-686-8436
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
461 CANN RD
Provider Second Line Business Practice Location Address:
QUEST THERAPEUTIC SERVICES, INC
Provider Business Practice Location Address City Name:
WEST CHESTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19382
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-692-6362
Provider Business Practice Location Address Fax Number:
610-692-0917
Provider Enumeration Date:
07/26/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  OC008356 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)