NPI | 1174711550 |
---|---|
Former Name | MELANIE L MATZEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MO 2008014106) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02390) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2014-09-17 |