| NPI | 1366498610 |
|---|---|
| Former Name | ERINN BALLOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01008) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 0761) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |