Provider Demographics
NPI:1568614220
Name:HRVATIN, CASANDRA L (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CASANDRA
Middle Name:L
Last Name:HRVATIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 AMBERWOODS DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5405
Mailing Address - Country:US
Mailing Address - Phone:412-657-2025
Mailing Address - Fax:
Practice Address - Street 1:1050 MCNEILLY RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-2550
Practice Address - Country:US
Practice Address - Phone:412-343-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010357225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1568614220Medicare PIN