NPI | 1356708226 |
---|---|
Former Name | SAMANTHA LEA STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY BOTOCT00221966) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2015026973) |
Enumeration Date | 2016-01-24 |
Last Update Date | 2016-01-24 |