NPI | 1306145081 |
---|---|
Former Name | KATIE MARIE FILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104081) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5269-26) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2019-08-13 |