NPI | 1013005164 |
---|---|
Former Name | HEATHER BACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103683) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0003320) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2021-05-10 |