Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC010175 | PA |
NPI | 1366102824 |
---|---|
Provider Name | Mrs. Temple Mary Girolami |
First Address | Apollo, PA 15613-9631 |
Second Address | Oakmont, PA 15139-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2021 |
Last Update Date | 26/12/2021 |