Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC008189 | PA |
NPI | 1003056854 |
---|---|
Provider Name | Stacy L Donatelli-Beining |
First Address | Coraopolis, PA 15108-3954 |
Second Address | Coraopolis, PA 15108-3954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2009 |
Last Update Date | 05/03/2009 |