Healthcare Provider Details

I. General information

NPI: 1043687569
Provider Name (Legal Business Name): JULIE CONNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BABCOCK BLVD
PITTSBURGH PA
15237-5815
US

IV. Provider business mailing address

9100 BABCOCK BLVD
PITTSBURGH PA
15237-5815
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-6450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOC014060
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014060
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: