Provider Demographics
NPI:1033357470
Name:GADWAY, CYNTHIA A (OTR/L)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:GADWAY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 S BRADDOCK AVE
Mailing Address - Street 2:APARTMENT #5
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1256
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1215 S BRADDOCK AVE
Practice Address - Street 2:APARTMENT #5
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1256
Practice Address - Country:US
Practice Address - Phone:412-886-2818
Practice Address - Fax:412-882-2853
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010840225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist