Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OC002713L | PA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC002713L | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC002713L | PA |
NPI | 1205958006 |
---|---|
Provider Name | Ms. Darla Jean Hess |
First Address | Bloomsburg, PA 17815-7603 |
Second Address | Camp Hill, PA 17011-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |