NPI | 1144687575 |
---|---|
Former Name | JESSICA DILEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12578) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07426) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2024-05-06 |