Susan J Dloughy

Individual provider Active NPI Occupational Therapy Assistant · Conway, PA

NPI 1598070195 · NPPES record last updated Aug 9, 2010

Key facts

NPI
1598070195
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP001778L (PA)
Practice address
358 11TH St
Conway, PA 15027-1638
Phone
(412) 526-0424
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

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
OP001778LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP001778L PA Yes

Addresses

Primary practice location

358 11TH St
Conway, PA 15027-1638

Mailing address

358 11TH St
Conway, PA 15027-1638
Phone (412) 526-0424

Other providers in Conway, PA

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

Sources for this page

Verify at the official NPI Registry.