| NPI | 1487959136 |
|---|---|
| Former Name | ANGELA COMSTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8162) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113959) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2024-06-24 |