| NPI | 1417272766 |
|---|---|
| Former Name | STEPHANIE DIANNE ROTHENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006788) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |