Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC014711 | PA |
NPI | 1184164634 |
---|---|
Provider Name | Mrs. Noelle Katherine Sabutis |
First Address | Lansdale, PA 19446-4208 |
Second Address | Lansdale, PA 19446-2361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2017 |
Last Update Date | 02/03/2017 |