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 |