| NPI | 1376998989 |
|---|---|
| Former Name | ELIZABETH ANNE MANTKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010181) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 10238) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-08-08 |