Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC005092L | PA |
NPI | 1063931632 |
---|---|
Provider Name | Beth A Pascoe |
First Address | Summit Hill, PA 18250-1734 |
Second Address | Nesquehoning, PA 18240-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2017 |
Last Update Date | 14/09/2017 |