| NPI | 1578821310 |
|---|---|
| Former Name | TAYLOR ELLEN PRENDERGAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2020) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10576) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-03-14 |