Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 5040 | WI |
NPI | 1275191058 |
---|---|
Provider Name | Johanna Pipia |
First Address | West Allis, WI 53219-1744 |
Second Address | West Allis, WI 53227-2409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2019 |
Last Update Date | 05/06/2019 |