NPI | 1043488794 |
---|---|
Former Name | RUTH GRANTHAM HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 225XH1200X) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: VA 0119001154) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2018-07-23 |