NPI | 1104339753 |
---|---|
Former Name | DIANE JILL MCCARTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MA 9761) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 9761) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |