Provider Demographics
NPI:1356811566
Name:NEUHART, JESSICA ELLEN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELLEN
Last Name:NEUHART
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 LENOX OVAL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1658
Mailing Address - Country:US
Mailing Address - Phone:412-302-8242
Mailing Address - Fax:
Practice Address - Street 1:4102 LENOX OVAL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-1658
Practice Address - Country:US
Practice Address - Phone:412-302-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics