NPI | 1174025084 |
---|---|
Former Name | KASSANDRA BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009486) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2018-03-07 |
Last Update Date | 2021-03-23 |