| NPI | 1467916080 |
|---|---|
| Former Name | REBECCA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60925555) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID 2023) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2022-01-05 |