NPI | 1336774561 |
---|---|
Former Name | ANDREA JAYNE GALVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106851) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID ot2175) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2024-10-25 |