NPI | 1295958684 |
---|---|
Former Name | KAREN ALICIA MESTAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM 1013) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA 1157) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |