MEDICARE: MR. DAVID GRAZIANO 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	225X00000X	Occupational Therapist	OC009559	PA

General Provider Information

NPI Number	:	1548634660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID GRAZIANO OTR/L

Provider Business Mailing Address
First Line	:	405 BIGELOW ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-1455
Country	:	US
Telephone Number	:	412-421-8772
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 BIGELOW ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-1455
Country	:	US
Telephone Number	:	412-715-2980
Fax Number	:

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

Provider Enumeration Date	:	12/01/2015
Last Update Date	:	12/01/2015

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Directions to “ MR. DAVID GRAZIANO OTR/L” Practice Location

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