| NPI | 1033349725 |
|---|---|
| Former Name | AMY BETH BROADHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MO 2009019126) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: KS 17-02618) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-01-29 |