| NPI | 1336700715 |
|---|---|
| Former Name | BARBARA JEAN MOSES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SD 420A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201737) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |