| NPI | 1316369259 |
|---|---|
| Former Name | MICHELLE DAWN PROUDFOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012218) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00508700) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |