NPI | 1285144683 |
---|---|
Former Name | INGRID MILES SCHWANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0000111) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC004045L) |
Enumeration Date | 2017-10-11 |
Last Update Date | 2018-03-17 |