Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0C010661 | PA |
NPI | 1003068685 |
---|---|
Provider Name | Mrs. Stefanie M Conti |
First Address | Bethel Park, PA 15102-1806 |
Second Address | Bethel Park, PA 15102-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2008 |
Last Update Date | 15/10/2008 |