NPI | 1568970978 |
---|---|
Former Name | HEATHER KATHRYN MICHALAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119011052) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5156) |
225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5156) | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2025-10-10 |