Provider Demographics
NPI:1215517834
Name:KOHLER, MICHELLE ELIZABETH (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:KOHLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:ELIZABETH
Other - Last Name:SARKOZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:300 OXFORD DR STE 420
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2361
Mailing Address - Country:US
Mailing Address - Phone:412-229-5501
Mailing Address - Fax:412-235-1343
Practice Address - Street 1:125 LOGANS FERRY RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-2048
Practice Address - Country:US
Practice Address - Phone:186-641-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007787224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant