NPI | 1255658621 |
---|---|
Former Name | AMY HAYDEN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114829) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 114829) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2022-07-21 |