NPI | 1023410628 |
---|---|
Former Name | LAUREN CATHERINE O'CONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007019) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 4366) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2021-12-18 |