NPI | 1033583240 |
---|---|
Former Name | LESLIE ANN HOLLAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60794368) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15745) |
225XH1200X Occupational Therapist, Hand (Licence: OR 346828) | |
Enumeration Date | 2015-11-25 |
Last Update Date | 2021-06-16 |