NPI | 1063828846 |
---|---|
Former Name | MELODY POTHIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13347) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13347) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-07-01 |