NPI | 1013900455 |
---|---|
Former Name | SUSAN L SCHRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002054) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: IL 056002054) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2012-01-30 |