| NPI | 1184106239 |
|---|---|
| Former Name | HALLIE DEW ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MO 2018032487) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA 00001576) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |