NPI | 1265146658 |
---|---|
Former Name | HALEY MICHELLE DURAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3915) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ OTH-009037) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2025-04-08 |