NPI | 1033598487 |
---|---|
Former Name | MARY ELIZABETH BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 07319) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07319) |
225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005928) | |
Enumeration Date | 2015-05-19 |
Last Update Date | 2023-07-26 |