NPI | 1114253424 |
---|---|
Former Name | STEPHANIE LYNNE MCCANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002555A) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA op006792) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2014-02-27 |