Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OC014382 | PA |
NPI | 1003398009 |
---|---|
Provider Name | Darlene Janet Perez-Brown |
First Address | Mechanicsburg, PA 17055-5670 |
Second Address | York, PA 17403-9320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |