NPI | 1235994294 |
---|---|
Former Name | BRIDGET SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010047) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 16134) |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |