Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC014496 | PA |
N | 225XF0002X | Feeding, Eating & Swallowing | OC014496 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC014496 | PA |
NPI | 1366955510 |
---|---|
Provider Name | Katie Vena |
First Address | Pittsburgh, PA 15203-1007 |
Second Address | Pittsburgh, PA 15203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2017 |
Last Update Date | 23/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1366955510 | (05) | PA |