NPI | 1265718100 |
---|---|
Former Name | JESSICA VANDERLINDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104078) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2011-10-24 |
Last Update Date | 2020-12-29 |