NPI | 1023323474 |
---|---|
Former Name | JESSICA FORREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010000688) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013536-1) |
225X00000X Occupational Therapist (Licence: MD 06214) | |
Enumeration Date | 2010-08-10 |
Last Update Date | 2024-10-02 |