Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC011462 | PA |
NPI | 1093220493 |
---|---|
Provider Name | Dr. Julia Kathryn Corsi |
First Address | Bethlehem, PA 18017-3065 |
Second Address | Bethlehem, PA 18018-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2017 |
Last Update Date | 06/12/2017 |