NPI | 1366860728 |
---|---|
Former Name | AMANDA QUINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR2702) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR O-T1409) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2021-07-07 |