Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC012392 | PA |
NPI | 1003232885 |
---|---|
Provider Name | Melissa Templeton |
First Address | Hummelstown, PA 17036-9188 |
Second Address | Hummelstown, PA 17036-9188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2014 |
Last Update Date | 17/03/2014 |