Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP006531 | PA |
NPI | 1023346244 |
---|---|
Provider Name | Lindsay Zay |
First Address | Liberty, PA 16930-9120 |
Second Address | Liberty, PA 16930-9120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2009 |
Last Update Date | 29/11/2009 |