NPI | 1538294558 |
---|---|
Former Name | KAREN LOYACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113442) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 011901-1) |
225X00000X Occupational Therapist (Licence: PA 04-261372) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-02-16 |