| NPI | 1396137881 |
|---|---|
| Former Name | CHRISTIE MOLDENHAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 15364) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213117) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-08-17 |