| NPI | 1295278836 |
|---|---|
| Former Name | JANA ELIZABETH BERISWILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT17600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 17600) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-11-09 |