NPI | 1053505677 |
---|---|
Former Name | ALLISON RAE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 1999138459) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01749) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2009-08-28 |