NPI | 1437356581 |
---|---|
Former Name | CRYSTAL ELIZABETH VORNDRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005386A) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001317A) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2012-10-05 |