Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | VA |
NPI | 1003209578 |
---|---|
Provider Name | Amanda Annarelli |
First Address | Allison Park, PA 15101-3303 |
Second Address | Allison Park, PA 15101-3303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |