NPI | 1558368118 |
---|---|
Former Name | PAMELA MARY BREWSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13470) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL 2278) |
225XH1200X Occupational Therapist, Hand (Licence: GA OT005043) | |
Enumeration Date | 2005-06-28 |
Last Update Date | 2024-10-07 |