Individual
KELLY NIECGORSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
(412) 673-5005
Mailing address
1835 WARRIORS RD, PITTSBURGH, PA 15205-3903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003558L
PA
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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