Basic Information
Provider Information
NPI: 1790800829
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANK
FirstName: KRISTI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PIREAUX
OtherFirstName: KRISTI
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: OTR
OtherLastNameType: 5
Mailing Information
Address1: 1511 FALLOWFIELD AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152163752
CountryCode: US
TelephoneNumber: 4124279339
FaxNumber:  
Practice Location
Address1: 9850 OLD PERRY HWY
Address2:  
City: WEXFORD
State: PA
PostalCode: 150909311
CountryCode: US
TelephoneNumber: 4123667900
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC009449PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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