NPI | 1013232487 |
---|---|
Former Name | MAZEY MILLIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 249877) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2640) |
Enumeration Date | 2010-03-29 |
Last Update Date | 2021-06-08 |