Individual
KIERSTEN DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, PA-C
Contact information
Practice address
300 HALKET ST STE 4500, PITTSBURGH, PA 15213
(412) 641-6600
Mailing address
201 FRANKLIN AVE, APT 1, PITTSBURGH, PA 15221-2739
(724) 396-8586
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OC013274
PA
363AM0700X
Medical Physician Assistant
Primary
OA003886
PA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/25/2014
Last updated
06/26/2018
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