NPI | 1073730644 |
---|---|
Former Name | NAN L KRECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60134250) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00003416) |
225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60134250) | |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA OT60134250) | |
225XG0600X Occupational Therapist, Gerontology (Licence: WA OT60134250) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2014-01-17 |