NPI | 1538445440 |
---|---|
Former Name | BROOKE S WANZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1839) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103942) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2021-04-28 |