Provider Demographics
NPI:1487347126
Name:DEBIASIO, NINA SHERWOOD
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:SHERWOOD
Last Name:DEBIASIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1712
Mailing Address - Country:US
Mailing Address - Phone:412-877-8940
Mailing Address - Fax:
Practice Address - Street 1:1290 BOYCE RD
Practice Address - Street 2:
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-3921
Practice Address - Country:US
Practice Address - Phone:724-941-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant