Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT009609L | PA |
NPI | 1003211624 |
---|---|
Provider Name | Kristin Barcaskey |
First Address | Pittsburgh, PA 15221-4608 |
Second Address | Pittsburgh, PA 15221-4608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2014 |
Last Update Date | 24/10/2014 |