Individual
MADISON BLUNKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 SHADY AVE, PITTSBURGH, PA 15217-1350
(412) 420-2400
Mailing address
4944 SIMMONS CIR, EXPORT, PA 15632-9330
(412) 953-4799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018290
PA
225X00000X
Occupational Therapist
TOC103656
PA
Other
Enumeration date
10/01/2020
Last updated
08/13/2022
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