| NPI | 1316411085 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008669) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02456) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |