Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC013598 | PA |
NPI | 1356700991 |
---|---|
Provider Name | Emalee Lear |
First Address | Media, PA 19063-2346 |
Second Address | Newtown Square, PA 19073-2812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2016 |
Last Update Date | 13/07/2017 |