NPI | 1407107766 |
---|---|
Former Name | CARRIE A. BLISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 1445) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 6912) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2012-09-27 |