NPI | 1437303120 |
---|---|
Former Name | KIMBERLY MARIE FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118364) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 3494) |
Enumeration Date | 2008-11-09 |
Last Update Date | 2024-10-15 |