| NPI | 1538591508 |
|---|---|
| Former Name | STACEY BERKOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 360951) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2018-04-09 |