NPI | 1255457651 |
---|---|
Former Name | ELIZA ENTREKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005752) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00441400) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2017-12-19 |