MEDICARE: CATHLEEN MOSSO FERLIN OTR/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
1	174400000X	Specialist	OC000732L	PA

General Provider Information

NPI Number	:	1326090242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHLEEN MOSSO FERLIN OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 857
Second Line	:
City	:	LATROBE
State	:	PA
Zip	:	15650-0857
Country	:	US
Telephone Number	:	724-537-9588
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 LIGONIER ST
Second Line	:	SUITE 003
City	:	LATROBE
State	:	PA
Zip	:	15650-1805
Country	:	US
Telephone Number	:	724-537-9588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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