NPI | 1215556485 |
---|---|
Former Name | MEGAN THOEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: WA OT61044592) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61044592) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2024-02-14 |