Individual
MR. THOMAS JOHN KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-4969
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-4060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002233L
PA
Other
Enumeration date
08/04/2009
Last updated
03/25/2021
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