Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC017652 |
NPI | 1003485608 |
---|---|
Provider Name | Veronica Schlegel |
First Address | Penn Valley, PA 19072-1553 |
Second Address | Penn Valley, PA 19072-1553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2021 |
Last Update Date | 18/06/2021 |