| NPI | 1184748253 |
|---|---|
| Former Name | JENNIFER MARIE BRDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 520200683) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-04-29 |