NPI | 1124421748 |
---|---|
Former Name | CAITLIN S LECROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60258084) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60258084) |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: WA OT60258084) | |
Enumeration Date | 2014-09-28 |
Last Update Date | 2022-12-01 |