Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OC011622 | PA |
NPI | 1013296482 |
---|---|
Provider Name | Christina Saxton |
First Address | Shamokin Dam, PA 17876-9416 |
Second Address | Lewisburg, PA 17837-1228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2011 |
Last Update Date | 16/08/2011 |