NPI | 1508006883 |
---|---|
Former Name | DESIREE MARIE KOPIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 008498-1) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00098800) |
Enumeration Date | 2009-02-26 |
Last Update Date | 2012-03-28 |