NPI | 1396131702 |
---|---|
Former Name | KEISHA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT007371) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 3936) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-11-22 |