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NPI Code Detail

MEDICARE: MRS. MARIANE LISA DARKOWSKI COTA/L

MEDICARE:  MRS. MARIANE LISA DARKOWSKI  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOP000735LPA

General Provider Information

NPI Number : 1174869846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIANE LISA DARKOWSKI COTA/L
Provider Business Mailing Address
First Line : 448 BLOSSOM DRIVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236
Country : US
Telephone Number : 412-653-1386
Fax Number :
Provider Business Practice Location Address
First Line : 448 BLOSSOM DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2431
Country : US
Telephone Number : 412-653-1386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2012
Last Update Date : 12/27/2012

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Directions to “ MRS. MARIANE LISA DARKOWSKI COTA/L” Practice Location

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