NPI | 1497367601 |
---|---|
Former Name | BRITTANY MARIE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14790) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 14790) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2022-05-10 |