Provider Demographics
NPI:1134377997
Name:SLOVINSKY, TARA (COTA/L, DOR)
Entity type:Individual
Prefix:MS
First Name:TARA
Middle Name:
Last Name:SLOVINSKY
Suffix:
Gender:F
Credentials:COTA/L, DOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:BEYER
Mailing Address - State:PA
Mailing Address - Zip Code:16211-0003
Mailing Address - Country:US
Mailing Address - Phone:724-599-0035
Mailing Address - Fax:
Practice Address - Street 1:1515 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-4702
Practice Address - Country:US
Practice Address - Phone:724-349-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006896224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant