NPI | 1477037356 |
---|---|
Former Name | BRIANNA KATHERINE PAYOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2974) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12855) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2020-07-02 |