NPI | 1558700872 |
---|---|
Former Name | MAGGIE ANN WOLENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00816600) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0003587) |
225X00000X Occupational Therapist (Licence: PA OC012476) | |
Enumeration Date | 2013-06-19 |
Last Update Date | 2018-03-17 |