NPI | 1356641245 |
---|---|
Former Name | VICTORIA BRUCE FAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 10148) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10148) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2020-02-27 |