Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC011236 | PA |
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC011236 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC011236 | PA |
NPI | 1184949877 |
---|---|
Provider Name | Lorie Ann Lengyel |
First Address | Tarentum, PA 15084-2650 |
Second Address | Edwards, CO 18632-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 15/11/2021 |