Individual
KATIE MASTRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-1619
Mailing address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056007566
LICENSE#
IL
Enumeration date
02/23/2007
Last updated
02/09/2012
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