Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | PA |
NPI | 1013147784 |
---|---|
Provider Name | Mrs. Sharon Jane Shoemaker |
First Address | Allentown, PA 18106-9356 |
Second Address | Allentown, PA 18104-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 16/07/2009 |