Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC010517 | PA |
N | 225XG0600X | Occupational Therapist - Gerontology | OC010517 | |
N | 225XL0004X | Low Vision | OC010517 | PA |
NPI | 1154526689 |
---|---|
Provider Name | Deann L. Bayerl |
First Address | Palmyra, PA 17078-8364 |
Second Address | Palmyra, PA 17078-8364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 29/01/2018 |