NPI | 1013091578 |
---|---|
Former Name | SARA C ROESER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2003010070) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02162) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-09 |