Individual
SANDRA NESBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5186 SCHENLEY AVE, PITTSBURGH, PA 15224-1029
(412) 518-1376
Mailing address
5186 SCHENLEY AVE, PITTSBURGH, PA 15224-1029
(412) 518-1376
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-0615494
—
PA
Enumeration date
09/26/2018
Last updated
09/26/2018
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