NPI | 1124362405 |
---|---|
Former Name | WHITNEY DIANE GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0003559) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: 303063) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |