| NPI | 1417254665 |
|---|---|
| Former Name | MAEGAN ALYSSA PACHOMSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006291) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-10-19 |