| NPI | 1104656156 |
|---|---|
| Former Name | PAMELA MICHELLE BIRDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OK 1721) |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant (Licence: OK 1721) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |