| NPI | 1336102607 |
|---|---|
| Former Name | JESSICA GIAMMALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005917A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5296) |
| 225XH1200X Occupational Therapist, Hand (Licence: NC 5296) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2016-04-07 |