NPI | 1366911158 |
---|---|
Former Name | BIANCA LINDA ANGSTADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC016000) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2018-11-21 |
Last Update Date | 2023-12-28 |