Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC010873 | PA |
NPI | 1124258264 |
---|---|
Provider Name | Amanda Elizabeth Figat |
First Address | Wyncote, PA 19095-1800 |
Second Address | Wyncote, PA 19095-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 23/07/2009 |