| NPI | 1528437688 |
|---|---|
| Former Name | VICTORIA FORTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3638) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 117167) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-09-11 |