| NPI | 1023533312 |
|---|---|
| Former Name | JEANETTE MARIE SCHWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2016036932) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2016036932) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2019-04-26 |