Provider Demographics
NPI:1326076472
Name:PITNEY, EMILY JOY (OT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JOY
Last Name:PITNEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOY
Other - Last Name:WOTHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:8261 TOWNSHIP ROAD 19
Mailing Address - Street 2:
Mailing Address - City:MC COMB
Mailing Address - State:OH
Mailing Address - Zip Code:45858-8403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:419-427-1984
Practice Address - Street 1:7595 COUNTY ROAD 236
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8738
Practice Address - Country:US
Practice Address - Phone:419-427-1984
Practice Address - Fax:419-427-2326
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1040629225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4202034Medicare UPIN
OH4202032Medicare UPIN
OH4202033Medicare UPIN