NPI | 1407580699 |
---|---|
Former Name | SHAELYN MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2022027032) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2022-07-13 |
Last Update Date | 2022-07-13 |