NPI | 1427665264 |
---|---|
Former Name | AMANDA BERRYHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056013268) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 098221) |
Enumeration Date | 2020-09-25 |
Last Update Date | 2021-08-30 |