NPI | 1407411564 |
---|---|
Former Name | JENNA SMEYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015680) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00754300) |
Enumeration Date | 2019-05-04 |
Last Update Date | 2022-11-02 |