NPI | 1235262700 |
---|---|
Former Name | LYNETTE MICHELE SLAYBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: AR OTR1083) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2024-05-15 |