Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OC006736L | PA |
NPI | 1073765939 |
---|---|
Provider Name | Ms. Diana Faith Osiecki |
First Address | Yardley, PA 19067-4568 |
Second Address | Plymouth Meeting, PA 19462-2225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 22/10/2008 |