Provider Demographics
NPI:1083842785
Name:ULINITZ, CASSANDRA JOY (OTR/L)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JOY
Last Name:ULINITZ
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 1:428 FEARNOT RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:PA
Mailing Address - Zip Code:17968-9535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 HIGH ST
Practice Address - Street 2:
Practice Address - City:PINE GROVE
Practice Address - State:PA
Practice Address - Zip Code:17963-1045
Practice Address - Country:US
Practice Address - Phone:570-345-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist