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 |