NPI | 1629379003 |
---|---|
Former Name | JENNIE LYNN GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT2044) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR2175) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2024-12-19 |