Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC012338 | PA |
NPI | 1003144205 |
---|---|
Provider Name | Jocelyn Paige Sappington |
First Address | Coraopolis, PA 15108-3954 |
Second Address | Allison Park, PA 15101-2443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2009 |
Last Update Date | 04/12/2012 |