Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1205834298 |
---|---|
Provider Name | Pollene Vanleer |
First Address | Indiana, PA 15701-3902 |
Second Address | Phoenixville, PA 19460-3810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 01/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0164718000 | INDEPENDENCE BLUE CROSS (01) | PA |
164224 | HIGHMARK BLUE SHIELD (01) | PA |
256072 | HEALTH AMERICA-ASSURANCE (01) | PA |