NPI | 1245601053 |
---|---|
Former Name | BRITTANEY DODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: MD 07666) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 60572512) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2021-12-10 |