Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC008946 | PA |
N | 225XH1200X | Occupational Therapist - Hand | OC008946 | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC008946 | PA |
NPI | 1346531290 |
---|---|
Provider Name | Mrs. Courtney L Pincin |
First Address | Carlisle, PA 17015-9409 |
Second Address | Carlisle, PA 17015-6945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 08/04/2018 |