Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC009538 | PA |
NPI | 1003879578 |
---|---|
Provider Name | Julie Huerbin |
First Address | Pittsburgh, PA 15206-3539 |
Second Address | Braddock, PA 15104-1599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 08/07/2007 |