NPI | 1275916884 |
---|---|
Former Name | ELIZABETH EKLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2015020226) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056011100) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2019-06-13 |