NPI | 1427393693 |
---|---|
Former Name | MARY-ETTA THERESA QUINTEIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14508) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 001289) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2016-08-30 |