| NPI | 1124212501 |
|---|---|
| Former Name | JODY LEE BEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: IN 31004003A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004003A) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-12-20 |