NPI | 1336587955 |
---|---|
Former Name | MONICA R DEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT18076) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R5443) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2020-10-08 |