NPI | 1336377811 |
---|---|
Former Name | TONYA Y JEFFERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2418) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 002596) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2023-01-10 |