| NPI | 1093148389 |
|---|---|
| Former Name | CHALYA SHACONNE RADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.Z12376) |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: LA OTT.Z12376) |
| 225XL0004X Occupational Therapist Low Vision (Licence: LA OTT.Z12376) | |
| 225XG0600X Occupational Therapist Gerontology (Licence: LA OTT.Z12376) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: LA OTT.Z12376) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |