Provider Demographics
NPI:1679251565
Name:MONTEFIORI, ANTONIA CARMELLA (OTD, OTR)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:CARMELLA
Last Name:MONTEFIORI
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3437 PORTOLA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-2216
Mailing Address - Country:US
Mailing Address - Phone:814-449-0634
Mailing Address - Fax:
Practice Address - Street 1:3437 PORTOLA AVE APT 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-2216
Practice Address - Country:US
Practice Address - Phone:814-449-0634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019334225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist