Individual
DIANE SANDRA FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
410 TERRACE DR, UNIONTOWN, PA 15401-8991
(724) 438-6000
Mailing address
5035 CLAIRTON BLVD, PITTSBURGH, PA 15236-2103
(412) 440-0142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006823
PA
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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