NPI | 1316262843 |
---|---|
Former Name | JESSICA R SPROTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02587) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2009013185) |
Enumeration Date | 2010-03-27 |
Last Update Date | 2016-10-03 |