| NPI | 1306478326 |
|---|---|
| Former Name | JENSINE ANN VARUGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121152) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016624) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-03-10 |