NPI | 1538718226 |
---|---|
Former Name | KRISTEN FAVRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120245) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: TX 120245) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2024-03-28 |