| 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 |