Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1952858326 |
---|---|
Provider Name | Emily Piccirilli |
First Address | Blairsville, PA 15717-1223 |
Second Address | Greensburg, PA 15601-2890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2016 |
Last Update Date | 15/01/2020 |