NPI | 1083132690 |
---|---|
Former Name | SALLY COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31000786A) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2017-09-04 |
Last Update Date | 2017-10-19 |