NPI | 1427277490 |
---|---|
Former Name | TIFFANY PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2512) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C1627) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2024-12-27 |