MEDICARE: AUDRA SITTERLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC14931	PA

General Provider Information

NPI Number	:	1538600911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA SITTERLY

Provider Business Mailing Address
First Line	:	491 CHERRY CT
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 CHERRY CT
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2607
Country	:	US
Telephone Number	:	724-612-8391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2017
Last Update Date	:	03/17/2017

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Directions to “ AUDRA SITTERLY ” Practice Location

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