NPI | 1184132599 |
---|---|
Former Name | CARRIE ANNE BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 027995) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118656) |
225X00000X Occupational Therapist (Licence: CA 18726) | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2025-04-22 |