NPI | 1033411400 |
---|---|
Former Name | GRACE KATHRYN EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32000654A) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC 60414053) |
224Z00000X Occupational Therapy Assistant (Licence: CO OTA 0000532) | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2016-05-13 |