NPI | 1336555119 |
---|---|
Former Name | AUSTEN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 288785) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 13722) |
225XP0200X Occupational Therapist, Pediatrics (Licence: WA 60563617) | |
Enumeration Date | 2014-07-01 |
Last Update Date | 2024-11-14 |