| 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 |