NPI | 1396407581 |
---|---|
Former Name | AMANDA BRINKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008221) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA OT008221) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2023-01-16 |