Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT015149 | PA |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT015149 | PA |
NPI | 1003961301 |
---|---|
Provider Name | Mary Beth Stapf |
First Address | Pittsburgh, PA 15203-1007 |
Second Address | Pittsburgh, PA 15203-1007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 17/02/2016 |