NPI | 1356323695 |
---|---|
Former Name | APRIL DAWN KEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119002894) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0119002894) |
Enumeration Date | 2005-11-14 |
Last Update Date | 2022-03-16 |