Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC010858 | PA |
NPI | 1003103078 |
---|---|
Provider Name | Allison Bienio |
First Address | Bethel Park, PA 15102-1202 |
Second Address | Pittsburgh, PA 15243-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 29/06/2011 |