NPI | 1376551465 |
---|---|
Former Name | MICHELLE LEE URYJASZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-002794) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3403-026) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2025-03-11 |