Organization
PITTSBURGH OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA MARIE STILES (CERTIFIED OROFACIAL MYOLOGIST)
(412) 407-2668
Entity
Organization
Contact information
Practice address
401 SHADY AVE # G-100, PITTSBURGH, PA 15206-4409
(412) 407-2668
Mailing address
401 SHADY AVE # G-100, PITTSBURGH, PA 15206-4409
(412) 407-2668
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH071760
PA
174400000X
Specialist
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/26/2017
Last updated
06/23/2021
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