NPI | 1083262323 |
---|---|
Former Name | NICOLE ELIZABETH MCMANUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OT16989) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2019-08-29 |
Last Update Date | 2019-08-29 |