NPI | 1215309745 |
---|---|
Former Name | COURTNEY GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10082) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14809) |
225X00000X Occupational Therapist (Licence: OR 270978) | |
225X00000X Occupational Therapist (Licence: WA 6052064) | |
Enumeration Date | 2015-10-23 |
Last Update Date | 2020-01-24 |