Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT026123 | PA |
N | 2251N0400X | Physical Therapist - Neurology | PT026123 | PA |
NPI | 1710402045 |
---|---|
Provider Name | Regan Harrell |
First Address | Pittsburgh, PA 15203-2054 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2017 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT026123 | (05) | PA |