NPI | 1083239859 |
---|---|
Former Name | DEANNA MOSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6198) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119008585) |
225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119-008588) | |
Enumeration Date | 2020-06-08 |
Last Update Date | 2021-07-07 |