NPI | 1457861346 |
---|---|
Former Name | ALECIA NICOLE MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: OK 5510) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: TX 118430) |
Enumeration Date | 2017-10-04 |
Last Update Date | 2023-01-27 |