NPI | 1396160677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000002204) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 435) |
224Z00000X Occupational Therapy Assistant (Licence: NC 9019) | |
224Z00000X Occupational Therapy Assistant (Licence: NY 003303) | |
Enumeration Date | 2014-02-24 |
Last Update Date | 2014-02-24 |