| NPI | 1154067692 |
|---|---|
| Former Name | EMILY DAWN GOLLIHUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2302) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007492) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-06-03 |