| NPI | 1225481781 |
|---|---|
| Former Name | MARIE K CHAMPAGNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL OT4563) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OT4563) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-08-16 |