| NPI | 1194368217 |
|---|---|
| Other Name | MENLANIE LYNN BARDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6625-26) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-07-15 |