| NPI | 1275660821 |
|---|---|
| Former Name | STEPHANIE A. KUSMIERSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-006862) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4695-026) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-09-11 |