| NPI | 1356362628 |
|---|---|
| Former Name | PATRICIA S DEWAARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2220) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103328) |
| 225X00000X Occupational Therapist (Licence: IA 01566) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-02-26 |