NPI | 1295222800 |
---|---|
Other Name | MADELINE WITZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 119089) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 119089) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2022-03-21 |