Provider Demographics
NPI:1003940768
Name:WOJTANOSKI, ERIN RUTH (OTRLL)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:RUTH
Last Name:WOJTANOSKI
Suffix:
Gender:F
Credentials:OTRLL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 CARROLL LN
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2464
Mailing Address - Country:US
Mailing Address - Phone:724-854-0172
Mailing Address - Fax:
Practice Address - Street 1:1020 CARROLL LN
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2464
Practice Address - Country:US
Practice Address - Phone:724-854-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist