Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OCO14782 | PA |
NPI | 1447779756 |
---|---|
Provider Name | Alexandra M Muscella |
First Address | Wayne, PA 19087-2006 |
Second Address | Wayne, PA 19087-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2017 |
Last Update Date | 18/09/2017 |