Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC007140L | PA |
NPI | 1083866701 |
---|---|
Provider Name | Marcia L Patterson |
First Address | Gibsonia, PA 15044-6007 |
Second Address | Pittsburgh, PA 15237-2114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 13/10/2008 |