Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC010693 | PA |
N | 225XE0001X | Environmental Modification | OC010693 | PA |
N | 225XF0002X | Feeding, Eating & Swallowing | OC010693 | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC010693 | PA |
NPI | 1992128680 |
---|---|
Provider Name | Mrs. Kathleen Mcgettigan |
First Address | Philadelphia, PA 19106-4518 |
Second Address | Philadelphia, PA 19106-4518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2014 |
Last Update Date | 30/01/2014 |