Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC012033 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00606400 | NJ |
NPI | 1043768559 |
---|---|
Provider Name | Leah Oman |
First Address | Portersville, PA 16051-1837 |
Second Address | Portersville, PA 16051-1837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2016 |
Last Update Date | 23/03/2021 |