NPI | 1255644597 |
---|---|
Former Name | PENNY E HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT0000002855) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT003508) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2010-07-15 |