NPI | 1164005153 |
---|---|
Former Name | DANIELLE ELIZABETH BLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 270409) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2021-04-28 |
Last Update Date | 2022-10-31 |