NPI | 1447317508 |
---|---|
Former Name | LARISSA D HECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0004466) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11677) |
Enumeration Date | 2007-01-01 |
Last Update Date | 2016-02-24 |