NPI | 1003029653 |
---|---|
Former Name | OLIVIA L CROUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT716) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-716) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-07-26 |