| NPI | 1215782685 |
|---|---|
| Former Name | CASSANDRA NICOLE FULGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 120670) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |