Provider Demographics
NPI:1962210344
Name:SOUTH HILLS PELVIC HEALTH, L.L.C.
Entity type:Organization
Organization Name:SOUTH HILLS PELVIC HEALTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:607-329-2140
Mailing Address - Street 1:1417 SNEE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3448
Mailing Address - Country:US
Mailing Address - Phone:607-329-2140
Mailing Address - Fax:
Practice Address - Street 1:1417 SNEE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-3448
Practice Address - Country:US
Practice Address - Phone:607-329-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty