Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC00516SL | PA |
NPI | 1003147034 |
---|---|
Provider Name | Barbara Sieminski |
First Address | Kingston, PA 18704-5117 |
Second Address | Kingston, PA 18704-5117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2010 |
Last Update Date | 14/01/2010 |