NPI | 1477542009 |
---|---|
Former Name | LISA MARIE SMURR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 260440) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: KY 260440) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2022-02-16 |