Provider Demographics
NPI:1316621915
Name:HUSNICK, GIANNA LUCIA (OTD OTR/L)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:LUCIA
Last Name:HUSNICK
Suffix:
Gender:F
Credentials:OTD OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1743
Mailing Address - Country:US
Mailing Address - Phone:412-715-2607
Mailing Address - Fax:
Practice Address - Street 1:4605 CARLTON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1743
Practice Address - Country:US
Practice Address - Phone:412-715-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018490225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation