NPI | 1174165302 |
---|---|
Former Name | WHITNEY CARADINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT-4086) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS TA3714) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2023-10-24 |