| NPI | 1194255265 |
|---|---|
| Former Name | BREANNA THANH LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005994) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT-1652) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-10-16 |