Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OC014370 | PA |
NPI | 1013370758 |
---|---|
Provider Name | Kahli Hale |
First Address | Pittsburgh, PA 15203-2324 |
Second Address | Pittsburgh, PA 15237-2164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 31/03/2016 |