NPI | 1386481232 |
---|---|
Former Name | HILLARY VANDER GAST BAGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO .0005977) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO .0005977) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2025-03-04 |