NPI | 1376086397 |
---|---|
Former Name | SHAUNA LYNN SANTELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: SC 4379) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AZ 5320) |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL 12252) | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2016-11-22 |