NPI | 1386717544 |
---|---|
Former Name | SHANNON LEIGH THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A01493) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP005813) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-07-08 |