NPI | 1023072501 |
---|---|
Former Name | DANA L SHIPLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1001) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT05486) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2007-07-08 |