NPI | 1366413965 |
---|---|
Former Name | STEPHANIE S BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009101) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3909-026) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2020-01-23 |