NPI | 1528699923 |
---|---|
Former Name | JESSICA MARIE OGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114944) |
Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
225XP0019X Occupational Therapist, Physical Rehabilitation | |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-02-04 |