NPI | 1023454964 |
---|---|
Former Name | MARY KATHRYN HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT15779) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005684) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2019-01-17 |