NPI | 1518217355 |
---|---|
Former Name | BRITTANY ALONZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 009441) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117679) |
235Z00000X Speech-Language Pathologist, (Licence: TX 37126) | |
Enumeration Date | 2012-09-19 |
Last Update Date | 2024-05-28 |