Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | C2204 | WV |
NPI | 1215428545 |
---|---|
Provider Name | Emily Nichole Piett |
First Address | Washington, PA 15301-3236 |
Second Address | Fairmont, WV 26554-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2018 |
Last Update Date | 22/05/2018 |