NPI | 1154881647 |
---|---|
Former Name | JESSICA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23050) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08687) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-08-08 |