| NPI | 1063936466 |
|---|---|
| Former Name | JILL BRADY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 304766) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT1333) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |