NPI | 1093181968 |
---|---|
Former Name | CHELSEA BOGINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 6297) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63 019870) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2017-10-31 |