NPI | 1477045193 |
---|---|
Former Name | DEVIN KAY TENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106430) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1623) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2021-08-02 |