MEDICARE: MRS. KATHRYN OLGA POSPISIL MPT

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	225100000X	Physical Therapist	PT011140L	PA

General Provider Information

NPI Number	:	1588829246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN OLGA POSPISIL MPT

Provider Business Mailing Address
First Line	:	213 EXECUTIVE DR STE 100
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	724-779-1300
Fax Number	:	724-779-1310

Provider Business Practice Location Address
First Line	:	213 EXECUTIVE DR STE 100
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	724-779-1300
Fax Number	:	724-779-1310

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/28/2008

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