| NPI | 1548602535 |
|---|---|
| Former Name | DEVAN RAE QUANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 4193) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 090016) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2024-12-16 |