NPI | 1013094572 |
---|---|
Former Name | JAMIE ANN COBURN LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT-003999) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY OTR1641) |
225X00000X Occupational Therapist (Licence: OH OT03999) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-12-28 |