NPI | 1225319700 |
---|---|
Former Name | SARA JEAN STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: CA 20609) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 102665) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2022-08-08 |