| NPI | 1619103603 |
|---|---|
| Former Name | JESSICA NICOLE RYLANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 2984) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2984) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-04-15 |