NPI | 1184168767 |
---|---|
Former Name | JESSICA ANN STOCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3152) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: ME OT3152) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2018-11-19 |