Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | OH000353 | PA |
Y | 222Z00000X | Podiatrist | OH000353 | PA |
N | 224P00000X | Prosthetist | PO000249 | PA |
NPI | 1457851644 |
---|---|
Provider Name | Amanda Rose Gilarski |
First Address | West Mifflin, PA 15122-2243 |
Second Address | West Mifflin, PA 15122-2243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2018 |
Last Update Date | 14/02/2018 |