NPI | 1578654430 |
---|---|
Former Name | DEBORAH ANN DAUTERIVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA Z10395) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: LA Z10395) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2019-08-30 |