Healthcare Provider Details

I. General information

NPI: 1649266743
Provider Name (Legal Business Name): BARBARA J PONTERIO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARARA J TENNENT

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FREEDOM WAY
GREENSBURG PA
15601-9245
US

IV. Provider business mailing address

1062 SAYBROOK DR
GREENSBURG PA
15601-1155
US

V. Phone/Fax

Practice location:
  • Phone: 724-853-8466
  • Fax: 724-838-8634
Mailing address:
  • Phone: 724-853-8466
  • Fax: 724-838-8634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC002318L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: