NPI | 1225479058 |
---|---|
Other Name | SHELLY MARIE WASIELEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA OT006418) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: OT13549) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2016-11-21 |