NPI | 1346706249 |
---|---|
Former Name | MARY ANN CROSETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 106785) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 119642) |
225X00000X Occupational Therapist (Licence: KS 17-03488) | |
Enumeration Date | 2019-02-15 |
Last Update Date | 2022-12-12 |