NPI | 1093251456 |
---|---|
Former Name | KENDRA M TRAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT011259) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4262) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2021-03-10 |