NPI | 1518366525 |
---|---|
Former Name | TABETHA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 133803) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT.007563) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2019-12-13 |