Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC015797 | PA |
NPI | 1235605627 |
---|---|
Provider Name | Erin Gaffney |
First Address | Schnecksville, PA 18078-2156 |
Second Address | Elkins Park, PA 19027-2220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2018 |
Last Update Date | 23/10/2018 |