| 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 | 2022-06-22 |