Healthcare Provider Details
I. General information
NPI: 1750346458
Provider Name (Legal Business Name): CATHERINE A SAMSA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 04/16/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UPMC EAST 2775 MOSSIDE BLVD
MONROEVILLE PA
15146-2212
US
IV. Provider business mailing address
4042 THOMAS ST
MONROEVILLE PA
15146-3118
US
V. Phone/Fax
- Phone: 412-586-6925
- Fax:
- Phone: 412-427-8443
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 224Z00000X |
| Taxonomy | Occupational Therapy Assistant |
| License Number | OP003298L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | OC013078 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: