Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC014060 | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC014060 | PA |
NPI | 1043687569 |
---|---|
Provider Name | Julie Conner |
First Address | Pittsburgh, PA 15237-5815 |
Second Address | Pittsburgh, PA 15237-5815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2015 |
Last Update Date | 22/03/2021 |