Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT009058L | PA |
NPI | 1043289838 |
---|---|
Provider Name | Mrs. Mary K Hlady |
First Address | Pittsburgh, PA 15219-2702 |
Second Address | Pittsburgh, PA 15219-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 08/07/2007 |