NPI | 1114307634 |
---|---|
Former Name | BRIANNA RENEE TEIGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104891) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5713-26) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2018-11-13 |