NPI | 1144313628 |
---|---|
Former Name | ERIN KATHLEEN DOUBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1402) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT-6561) |
225X00000X Occupational Therapist (Licence: MD 05822) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-05-07 |