| NPI | 1275869356 |
|---|---|
| Former Name | ERIN ELIZABETH FORTENBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT004996) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004996) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-12-03 |