| NPI | 1578945895 |
|---|---|
| Former Name | MARY ROSE SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08151) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013911) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-06-17 |