Provider Demographics
NPI:1437362423
Name:DUBENSKY, DANA NICOLE (COTA)
Entity Type:Individual
Prefix:MISS
First Name:DANA
Middle Name:NICOLE
Last Name:DUBENSKY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-2631
Mailing Address - Country:US
Mailing Address - Phone:814-938-0391
Mailing Address - Fax:814-938-3575
Practice Address - Street 1:1155 INDIAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3466
Practice Address - Country:US
Practice Address - Phone:724-464-1609
Practice Address - Fax:724-464-1660
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP005671224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant