NPI | 1265868756 |
---|---|
Former Name | AMANDA HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2021019935) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: IL 056.010257) |
225XP0200X Occupational Therapist Pediatrics | |
Enumeration Date | 2013-09-17 |
Last Update Date | 2021-10-04 |