NPI | 1346846235 |
---|---|
Former Name | KORINNA CHEYENNE ALVARADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ OTH008150) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2024-11-06 |