NPI | 1568016277 |
---|---|
Former Name | ALEXANDRA MICHELLE GADDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 0000006639) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT007414) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2020-11-08 |