Roberta Justine Ganoe, OTRL
Individual provider Active NPI Occupational Therapist · Brookville, PA
NPI 1609088111 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609088111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0C004155L (PA)
- Practice address
- 1334 Mays Road
Brookville, PA 15825 - Phone
- (814) 328-5239
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0C004155L | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0C004155L | PA | Yes |
Addresses
Primary practice location
1334 Mays Road
Brookville, PA 15825
Mailing address
1334 Mays Road
Brookville, PA 15825
Phone (814) 328-5239
Other providers in Brookville, PA
- Jason R Fetterman
- Norman Guy Furgiuele
- Brandon Michael Galasso I
- Sarah Marie Gallagher
- Kumaresan Ganabathi
- Giant Eagle, Inc
- Janie Lou Gilligan
- Alexander Gray
- Steven Greenberg
- Michele R Greenthaner
All providers in Brookville, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.