NPI | 1003559923 |
---|---|
Former Name | ANA RADICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7720) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 23099) |
Enumeration Date | 2022-04-18 |
Last Update Date | 2023-07-27 |