NPI | 1144667502 |
---|---|
Former Name | CAMILLE FIETKAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: OR 1003226) |
Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: OR 1003226) |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OR 1003226) | |
Enumeration Date | 2013-05-25 |
Last Update Date | 2013-05-25 |