| NPI | 1013334192 |
|---|---|
| Other Name | ANGIE MICHELLE BYERSR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 411509) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-01-03 |