Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT008001L | PA |
NPI | 1427124320 |
---|---|
Provider Name | Elaine F. Barch |
First Address | State College, PA 16801-7965 |
Second Address | State College, PA 16801-7965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P21473 | (02) | PA |