Individual
ELIZABETH NOELLE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6864 SUSQUEHANNA TRL S, YORK, PA 17403-9320
(717) 428-0150
Mailing address
6864 SUSQUEHANNA TRL S, YORK, PA 17403-9320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
08418
MD
225X00000X
Occupational Therapist
Primary
OC015658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08418
MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
01
—
OC015658
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/07/2018
Last updated
06/07/2018
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