NPI | 1356702138 |
---|---|
Former Name | COURTNEY SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006970) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5235) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2023-11-05 |