NPI | 1326420753 |
---|---|
Former Name | AMANDA LOZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60341534) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 275040) |
225X00000X Occupational Therapist (Licence: NV OT-2549) | |
225X00000X Occupational Therapist (Licence: OR OT259029) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2023-01-16 |