Rebecca Ann Mamrose, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Munhall, PA

NPI 1932393469 · NPPES record last updated Aug 30, 2007

Key facts

NPI
1932393469
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP000580L (PA)
Practice address
2600 W Run Rd
Munhall, PA 15120-2869
Phone
(412) 462-8002
Fax
(412) 462-2113
NPI assigned
Aug 28, 2007
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
OP000580LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP000580L PA Yes

Addresses

Primary practice location

2600 W Run Rd
Munhall, PA 15120-2869

Mailing address

2600 W Run Rd
Munhall, PA 15120-2869
Phone (412) 462-8002

Other providers in Munhall, PA

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

Sources for this page

Verify at the official NPI Registry.