Provider Demographics
NPI:1023342599
Name:TRETTEL, KARA DIANE (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:KARA
Middle Name:DIANE
Last Name:TRETTEL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3410 W PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-5970
Mailing Address - Country:US
Mailing Address - Phone:724-658-4781
Mailing Address - Fax:724-658-4911
Practice Address - Street 1:3410 W PITTSBURG RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-5970
Practice Address - Country:US
Practice Address - Phone:724-658-4781
Practice Address - Fax:724-658-4911
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP003142L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant