NPI | 1598263386 |
---|---|
Former Name | SARA R GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6190-26) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105729) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2021-01-20 |