NPI | 1326611351 |
---|---|
Former Name | SAMANTHA JANE FOUCAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6949) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 6949) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-07-19 |