Angella Marie Komorowski, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Upper Saint Clair, PA
NPI 1740907799 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1740907799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OP008949 (PA)
- Practice address
- 1290 Boyce Rd
Upper Saint Clair, PA 15241-3921 - Phone
- (724) 941-3100
- NPI assigned
- Oct 20, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OP008949 | PA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP008949 | PA | Yes |
Addresses
Primary practice location
1290 Boyce Rd
Upper Saint Clair, PA 15241-3921
Mailing address
1290 Boyce Rd
Upper Saint Clair, PA 15241-3921
Phone (724) 941-3100
Other providers in Upper Saint Clair, PA
- Courtney Dawn Hart
- Julie Hartman
- Heather M. Filer, D.C.
- Shawna Kelly
- Megan Melissa Killen
- Lifeline Therapy Upper Saint Clair LLC
- Suzanne Denise Lochie
- Emily Lowry
- Kendra Martinson
- Laura Nirella
All providers in Upper Saint Clair, PA · Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.