Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC012436 | PA |
NPI | 1003296310 |
---|---|
Provider Name | Margaret Rae Bearer |
First Address | Dysart, PA 16636-8116 |
Second Address | Altoona, PA 16601-9316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 02/06/2015 |