Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP001788L | PA |
NPI | 1013058577 |
---|---|
Provider Name | Diane Joy Clopper |
First Address | Mercersburg, PA 17236-9492 |
Second Address | Chambersburg, PA 17201-1720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |