| NPI | 1538212105 |
|---|---|
| Former Name | COURTNEY IVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003334) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 8745) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-06-27 |