Individual
NICHOLAS MARTIN GAZDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
200 ADAMS AVE, PITTSBURGH, PA 15243-1028
(412) 489-3556
Mailing address
25 STATION ST, CARNEGIE, PA 15106-3014
(412) 874-6728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003667L
PA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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