NPI | 1285051060 |
---|---|
Former Name | SHELLEY LOIS SCOFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA 00001793) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 00001793) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2014-03-18 |