NPI | 1215222575 |
---|---|
Former Name | JACLYN QUERCETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010066) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00518200) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2017-12-06 |