| NPI | 1073654307 |
|---|---|
| Former Name | ANGELA KOCH FLUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 6598) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 0035) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-03-17 |