Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP003409L | PA |
NPI | 1023260775 |
---|---|
Provider Name | Mrs. Kathleen A Kravec |
First Address | Bethel Park, PA 15102-2727 |
Second Address | Pittsburgh, PA 15220-1851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 14/10/2008 |