| NPI | 1275689200 |
|---|---|
| Former Name | MARIAN GRACE GOATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA9403) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 9403) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-06-25 |