NPI | 1174831416 |
---|---|
Former Name | CASSANDRA LEE HOLZMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4888) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 4888-26) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2014-03-27 |