NPI | 1427606037 |
---|---|
Former Name | SAMANTHA LEE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 12243) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 5022) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-10-26 |