Provider Demographics
NPI:1023352317
Name:SVITEK, JACQUELYN (MOTR/L)
Entity type:Individual
Prefix:MRS
First Name:JACQUELYN
Middle Name:
Last Name:SVITEK
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:JACQUELYN
Other - Middle Name:
Other - Last Name:PILLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:249 MAGNOLIA PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1323
Mailing Address - Country:US
Mailing Address - Phone:412-720-6692
Mailing Address - Fax:
Practice Address - Street 1:3307 WASHINGTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-6400
Practice Address - Country:US
Practice Address - Phone:412-720-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006977L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist