| NPI | 1184948887 |
|---|---|
| Former Name | ELLEN ROSE REITER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2000158821) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1702131) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |