=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821348319
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CATHLENE MARIE ONDECHECK OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2012
-----------------------------------------------------
Last Update Date | 09/12/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 142 CLEARVIEW CIR
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16001-1565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-285-5351
-----------------------------------------------------
Fax | 724-285-3780
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9104 BABCOCK BLVD SUITE 2120
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-5818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-367-2620
-----------------------------------------------------
Fax | 412-358-0103
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OC012498
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------