NPI | 1033275888 |
---|---|
Former Name | SUSAN VICTORIA KATTULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115581) |
Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IL 056.007718) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2018-11-16 |