Provider Demographics
NPI:1053615369
Name:WOLOVICH, AMBER LEE (AMBER WOLOVICH)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:WOLOVICH
Suffix:
Gender:F
Credentials:AMBER WOLOVICH
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:WOLOVICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMBER WOLOVICH, OTR
Mailing Address - Street 1:116 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4112
Mailing Address - Country:US
Mailing Address - Phone:412-241-0417
Mailing Address - Fax:
Practice Address - Street 1:9850 OLD PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9311
Practice Address - Country:US
Practice Address - Phone:412-366-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006728L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist