Provider Demographics
NPI:1457504656
Name:BOVA, EMILY (OTR-L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BOVA
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GAFFNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3850
Mailing Address - Country:US
Mailing Address - Phone:724-745-8298
Mailing Address - Fax:
Practice Address - Street 1:113 W MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2427
Practice Address - Country:US
Practice Address - Phone:724-941-3080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010728225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist