Individual
COURTNEY ELIZABETH PISTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
1715 SPRUCE ST APT 2R, PHILADELPHIA, PA 19103-6125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012178
PA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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