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1962184564 NPI number — REBECCA LYNN SOLIWODA OTD, OTR/L

NPI Number: 1962184564
Health Care Provider/Practitioner: REBECCA LYNN SOLIWODA OTD, OTR/L

Information about “1962184564” NPI (REBECCA LYNN SOLIWODA OTD, OTR/L) exists in 1962184564 in HTML format HTML  |  1962184564 in plain Text format TXT  |  1962184564 in PDF (Portable Document Format) PDF  |  1962184564 in an XML format XML  formats.

NPI Number : 1962184564 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962184564",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOLIWODA",
    "FirstName": "REBECCA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTD, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2733 W 34TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ERIE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16506-3379",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-881-3361",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12 MAGNOLIA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EASTON",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21601-3657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-822-0330",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/02/2023",
    "LastUpdateDate": "08/02/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT23649",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "24684",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "10045",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OC018852",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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