NPI | 1528249372 |
---|---|
Former Name | KIMBERLY GEISNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 8691) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002993) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2019-03-29 |