NPI | 1245815356 |
---|---|
Former Name | JENNIFER LYNN MCHENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA03674) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OTA03674) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-03-10 |