NPI | 1013387703 |
---|---|
Former Name | TALITHA GLORIA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK OT640) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OK OT640) |
225XH1300X Occupational Therapist, Human Factors (Licence: OK OT640) | |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OK OT640) | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-07 |