Mary Lynne Bugay

Individual provider Active NPI Occupational Therapy Assistant · Coraopolis, PA

NPI 1003372335 · NPPES record last updated Feb 12, 2019

Key facts

NPI
1003372335
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP001949L (PA)
Practice address
951 Brodhead Rd
Coraopolis, PA 15108-2349
Phone
(412) 269-1101
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP001949LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP001949L PA Yes

Addresses

Primary practice location

951 Brodhead Rd
Coraopolis, PA 15108-2349

Mailing address

32 Enlow Rd
Imperial, PA 15126-1305

Other providers in Coraopolis, PA

All providers in Coraopolis, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.