| NPI | 1144674730 |
|---|---|
| Former Name | CARRIE LYNN SANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001678) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA PO008394) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-03-17 |