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 |