NPI | 1093182248 |
---|---|
Former Name | ELEANOR FRANCES DUFFY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107285) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0017904) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2023-10-03 |