Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | OC006312 L | PA |
N | 225X00000X | Occupational Therapist | OC006312 L | PA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC006312 L | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC006312 L | PA |
NPI | 1104800895 |
---|---|
Provider Name | Laura Burns |
First Address | Dickson City, PA 18519-1677 |
Second Address | Dickson City, PA 18519-1677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017725210005 | (05) | PA |
163614 | MEDPLUS (01) | PA |
1682829 | HIGHMARK (01) | PA |
3742233 | AETNA HMO (01) | PA |
7288665 | AETNA PPO (01) | PA |
819208 | FIRST PRIORITY/BC/BS (01) | PA |
938452 | PHCS (01) | PA |