Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC010875 | PA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC010875 | PA |
NPI | 1841440310 |
---|---|
Provider Name | Michelle Dawn Baranowski |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2008 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OC010875 | OCCUPATIONAL THERAPIST (01) | PA |