NPI | 1548749393 |
---|---|
Former Name | CASEY RENEE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6709) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 11753) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-06-27 |