NPI | 1407000318 |
---|---|
Former Name | CAITLIN M GAMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11243) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 011770-01) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2014-10-06 |