| NPI | 1144898248 |
|---|---|
| Former Name | AMY BETH FUNKHOUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 214007) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |