| NPI | 1578233649 |
|---|---|
| Former Name | DANA WYSOLMIERSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-008469) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 008469) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-05-24 |