| NPI | 1265466122 |
|---|---|
| Former Name | JEESA JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013250) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00669400) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-26 |