NPI | 1043714272 |
---|---|
Former Name | AMANDA FRANCO BEZERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022316) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 022316-1) |
225X00000X Occupational Therapist (Licence: NY 022316-1) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2019-07-30 |