NPI | 1396137212 |
---|---|
Former Name | JESSICA MARIE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20404) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116671) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2020-03-24 |