NPI | 1295169845 |
---|---|
Former Name | LISA LABRUZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00604100) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017807-1) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2022-09-22 |