NPI | 1326109737 |
---|---|
Former Name | ALISA JOAN MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 003409) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014962) |
225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072-0000512) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: NH 1828) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2009-03-08 |