NPI | 1619090164 |
---|---|
Former Name | VICTORIA HAMERNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3259) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN OT3887) |
225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3259) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2021-04-20 |