NPI | 1598138711 |
---|---|
Former Name | COURTNEY NICOLE MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MN 105011) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 22348) |
225XH1200X Occupational Therapist, Hand (Licence: 201905063) | |
Enumeration Date | 2015-11-10 |
Last Update Date | 2022-10-25 |