NPI | 1538249164 |
---|---|
Former Name | HOLLY AMBER POLMATEER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 004075) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012799) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-08-15 |