Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OC016487 | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC016487 | PA |
NPI | 1891345476 |
---|---|
Provider Name | Rachel Elizabeth Loar |
First Address | Macungie, PA 18062-9729 |
Second Address | Bethlehem, PA 18017-8957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2019 |
Last Update Date | 16/09/2019 |