Healthcare Provider Details

I. General information

NPI: 1568764033
Provider Name (Legal Business Name): EMBRACE THE CHILD, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BROOKSIDE BLVD
PITTSBURGH PA
15241
US

IV. Provider business mailing address

121 BROOKSIDE BLVD
PITTSBURGH PA
15241-1564
US

V. Phone/Fax

Practice location:
  • Phone: 412-212-1139
  • Fax:
Mailing address:
  • Phone: 412-212-1139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. STACY SUE ROSELLO
Title or Position: PRESIDENT/OCCUPATIONAL THERAPIST
Credential: MA OTR/L
Phone: 412-212-1139