| NPI | 1184035099 |
|---|---|
| Former Name | MARIE VANDERBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.002761) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 00516) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |