Individual
AMANDA LYNN TISHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012349
PA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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