| NPI | 1588915318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP007320) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3536) |
| 224Z00000X Occupational Therapy Assistant (Licence: MD A01936) | |
| 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00604) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |