Provider Demographics
NPI:1154489482
Name:WOOD, TANIA (OTR)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 SARAH ST
Mailing Address - Street 2:
Mailing Address - City:EAST MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15035-1017
Mailing Address - Country:US
Mailing Address - Phone:412-823-5159
Mailing Address - Fax:
Practice Address - Street 1:5465 ROUTE 8
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9696
Practice Address - Country:US
Practice Address - Phone:724-444-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006550L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics