NPI | 1386644805 |
---|---|
Former Name | SUZANNE MARY SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: OK OT436) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK OT436) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2007-07-08 |