NPI | 1114263431 |
---|---|
Former Name | ALISON DEMOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 3656) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 06830) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2014-07-29 |