Individual
ELLE KISIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-4055
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015876
PA
Other
Enumeration date
02/20/2020
Last updated
03/17/2021
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