| NPI | 1477510204 |
|---|---|
| Former Name | THERESA MARGARET WATERBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT456) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-09-30 |