Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC013940 |
NPI | 1982249934 |
---|---|
Provider Name | Briana Nicole Hapenovich |
First Address | Emmaus, PA 18049-2404 |
Second Address | Emmaus, PA 18049-2404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2019 |
Last Update Date | 14/11/2019 |