| NPI | 1629208491 |
|---|---|
| Former Name | MIRANDA DAWN MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107467) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5408) |
| 225X00000X Occupational Therapist (Licence: IN 31007825A) | |
| 225X00000X Occupational Therapist (Licence: WV 1389) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-07-31 |