Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC012094 | PA |
N | 225XF0002X | Feeding, Eating & Swallowing | OC012094 | PA |
NPI | 1972943975 |
---|---|
Provider Name | Ms. Terra D Perry |
First Address | Middletown, PA 17057 |
Second Address | Lancaster, PA 17601-5606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2013 |
Last Update Date | 07/12/2018 |