MEDICARE: KRISTIN TORNABENE

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	3216	SC
2	225X00000X	Occupational Therapist		PA

General Provider Information

NPI Number	:	1912125881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN TORNABENE

Provider Business Mailing Address
First Line	:	112 OAKWOOD RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2664
Country	:	US
Telephone Number	:	412-780-2028
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 ARDMORE BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-4468
Country	:	US
Telephone Number	:	412-271-8347
Fax Number	:

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	03/06/2022

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Directions to “ KRISTIN TORNABENE ” Practice Location

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