NPI | 1366743635 |
---|---|
Former Name | KAITLYN ELIZABETH WEITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH 007566) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 274826) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2022-01-26 |