Sonja Eckstrom

Individual provider Active NPI Occupational Therapist · Braddock, PA

NPI 1629231972 · NPPES record last updated Jul 8, 2008

Key facts

NPI
1629231972
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC003259L (PA)
Practice address
400 Holland Ave
Braddock, PA 15104-1599
Phone
(412) 636-5090
NPI assigned
Jul 8, 2008
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
OC003259LPAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC003259L PA Yes

Addresses

Primary practice location

400 Holland Ave
Braddock, PA 15104-1599

Mailing address

510 Brookdale Dr
Pittsburgh, PA 15215-1018

Other providers in Braddock, PA

All providers in Braddock, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.