Provider Demographics
NPI:1326090242
Name:FERLIN, CATHLEEN MOSSO (OTR/L)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:MOSSO
Last Name:FERLIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:
Other - Last Name:MOSSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 857
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-0857
Mailing Address - Country:US
Mailing Address - Phone:724-537-9588
Mailing Address - Fax:
Practice Address - Street 1:911 LIGONIER ST
Practice Address - Street 2:SUITE 003
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1805
Practice Address - Country:US
Practice Address - Phone:724-537-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000732L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFE714418Medicare ID - Type UnspecifiedMEDICARE INDIV OT NUMBER