| NPI | 1629275995 |
|---|---|
| Former Name | MARCI KAYE MEDENWALD SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1207) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2018-03-17 |