Provider Demographics
NPI:1497121263
Name:CORTOPASSI, LOREN
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:CORTOPASSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:EIGHTY FOUR
Mailing Address - State:PA
Mailing Address - Zip Code:15330-2670
Mailing Address - Country:US
Mailing Address - Phone:724-825-7740
Mailing Address - Fax:
Practice Address - Street 1:100 HIGH TOWER BLVD, SUTE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1150
Practice Address - Country:US
Practice Address - Phone:412-787-1150
Practice Address - Fax:412-787-1156
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0247072251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics