| NPI | 1053954982 |
|---|---|
| Former Name | JAICY SUTAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0006212) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0006212) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-12-23 |