| 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 |