NPI | 1265553218 |
---|---|
Former Name | LYNETTE MARIE MISKINIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6801) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 56002607) |
225XH1200X Occupational Therapist, Hand (Licence: IL 056-002607) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-09-14 |