NPI | 1316578453 |
---|---|
Former Name | BRENNA FARRAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010916) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2020-01-28 |
Last Update Date | 2022-09-08 |