Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 46TR00433400 | NJ |
Y | 225X00000X | Occupational Therapist | OC003079L | PA |
NPI | 1003934217 |
---|---|
Provider Name | Mrs. Dawn Clayton Bieber |
First Address | Chalfont, PA 18914-3496 |
Second Address | Chalfont, PA 18914-3496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
46TR00433400 | OT LICENSE NUMBER (01) | NJ |
OC003079 | OT LICENSE NUMBER (01) | PA |