NPI | 1508925751 |
---|---|
Former Name | MARY SARA MASUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103361) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4494) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2010-12-22 |