NPI | 1326452798 |
---|---|
Former Name | CHRISTIANA RUECKERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006317) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006317) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2021-09-07 |