NPI | 1104279702 |
---|---|
Former Name | LISA BETH PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9557) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
225XP0200X Occupational Therapist, Pediatrics (Licence: NC 9557) | |
Enumeration Date | 2016-07-19 |
Last Update Date | 2023-04-13 |