Provider Demographics
NPI:1124238068
Name:OROPEZA, MARK A (COTA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:OROPEZA
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:401 EDEN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1513
Mailing Address - Country:US
Mailing Address - Phone:724-733-5208
Mailing Address - Fax:
Practice Address - Street 1:7500 BROOKTREE RD
Practice Address - Street 2:SUITE220
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9254
Practice Address - Country:US
Practice Address - Phone:724-934-3350
Practice Address - Fax:800-355-1114
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006131224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant