NPI | 1184880494 |
---|---|
Former Name | MICHELE DENISE BUBNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 1262) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2021-07-09 |