NPI | 1205033735 |
---|---|
Former Name | MELISSA DARLENE HOPPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2004022512) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2004022512) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2022-10-03 |