NPI | 1235709312 |
---|---|
Former Name | JULIANA REBECCA CROSSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2021-06-30 |
Last Update Date | 2023-05-15 |