NPI | 1578851937 |
---|---|
Former Name | ALLYSA R FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017620) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005408) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2019-08-13 |