Healthcare Provider Details

I. General information

NPI: 1366955510
Provider Name (Legal Business Name): KATIE VENA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 04/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BINGHAM ST
PITTSBURGH PA
15203
US

IV. Provider business mailing address

711 BINGHAM ST
PITTSBURGH PA
15203-1007
US

V. Phone/Fax

Practice location:
  • Phone: 412-995-5000
  • Fax:
Mailing address:
  • Phone: 412-995-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOC014496
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC014496
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014496
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: