Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OC009332 | PA |
NPI | 1043735228 |
---|---|
Provider Name | Mrs. Monica M Conte |
First Address | Exton, PA 19341-1429 |
Second Address | Exton, PA 19341-1189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2017 |
Last Update Date | 08/08/2017 |