Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | CO299197 | PA |
NPI | 1467912683 |
---|---|
Provider Name | Danae Taylor |
First Address | Pittsburgh, PA 15204-1106 |
Second Address | Pittsburgh, PA 15204-1710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2019 |
Last Update Date | 22/03/2019 |