Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 007625 | OH |
NPI | 1376832949 |
---|---|
Provider Name | Rebeka Marie Rauen |
First Address | Pittsburgh, PA 15217-2458 |
Second Address | Steubenville, OH 43953-4050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 04/04/2011 |