Healthcare Provider Details

I. General information

NPI: 1093078669
Provider Name (Legal Business Name): MEGAN OSTRONIC OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 WASHINGTON PIKE
BRIDGEVILLE PA
15017-2862
US

IV. Provider business mailing address

1370 WASHINGTON PIKE
BRIDGEVILLE PA
15017-2862
US

V. Phone/Fax

Practice location:
  • Phone: 412-838-0212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014907
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: