NPI | 1053656090 |
---|---|
Former Name | HEATHER SMALLWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2608) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 111155) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2020-09-18 |