NPI | 1033465034 |
---|---|
Former Name | MELISSA STAHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 10522) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL OTA10522) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2018-07-12 |