NPI | 1104441682 |
---|---|
Former Name | SARA ANN POLETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH008096) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2020000630) |
225X00000X Occupational Therapist (Licence: IL 056013449) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |