Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE001508L | PA |
NPI | 1003067554 |
---|---|
Provider Name | Mrs. Deborah Ann Haas |
First Address | Bethlehem, PA 18015-5540 |
Second Address | Easton, PA 18045-2656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |