Provider Demographics
NPI:1053551259
Name:NEHER, CARLEEN SUSAN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CARLEEN
Middle Name:SUSAN
Last Name:NEHER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CARLEEN
Other - Middle Name:SUSAN
Other - Last Name:BABYAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:200 LOTHROP STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-2345
Mailing Address - Fax:
Practice Address - Street 1:1500 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2482
Practice Address - Country:US
Practice Address - Phone:412-664-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008167225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist