Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC015132 | PA |
NPI | 1265956247 |
---|---|
Provider Name | Sarah Brenot |
First Address | Mckeesport, PA 15132-2806 |
Second Address | Seneca, PA 16346-2130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2017 |
Last Update Date | 18/03/2021 |