NPI | 1598748741 |
---|---|
Former Name | CAROLINE CHRISTINE BORDELON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.200079) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2806) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2017-02-22 |