NPI | 1063614055 |
---|---|
Former Name | VICTORIA LE-DARLENE RAGSDALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY KY-R3193) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004224A) |
Enumeration Date | 2007-06-03 |
Last Update Date | 2007-07-08 |