NPI | 1245804533 |
---|---|
Former Name | ASHLEY MARIE BUKSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.014137) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31007412A) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2023-11-24 |