| NPI | 1588812135 |
|---|---|
| Former Name | BREIA-LYN O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9267) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014647) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2014-10-07 |