NPI | 1497125165 |
---|---|
Former Name | ALISSA DANIELLE GADOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2015-10-06 |
Last Update Date | 2019-03-14 |