NPI | 1356474217 |
---|---|
Former Name | SUSAN MARY CRANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA 0C001246L) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA 0C001246L) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |