Healthcare Provider Details

I. General information

NPI: 1548929805
Provider Name (Legal Business Name): AMANDA MOLINARI MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA WEBER MSOT, OTR/L

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 APPLE BLOSSOM WAY
CORAOPOLIS PA
15108-2333
US

IV. Provider business mailing address

125 APPLE BLOSSOM WAY
CORAOPOLIS PA
15108-2333
US

V. Phone/Fax

Practice location:
  • Phone: 412-539-6446
  • Fax:
Mailing address:
  • Phone: 412-219-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC019883
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31007551A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: