NPI | 1225622772 |
---|---|
Former Name | ERYN ANNE KITTOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MN 106491) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 5821) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2022-01-19 |