NPI | 1134346190 |
---|---|
Former Name | DENISE A WORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011674) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP002165L) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2013-03-04 |