| NPI | 1073253530 |
|---|---|
| Former Name | ALECIA LYN DADEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 7180-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 7180-26) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |