| NPI | 1366952038 |
|---|---|
| Former Name | CHRISTY FAVINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |