NPI | 1629428073 |
---|---|
Former Name | KATY CORREA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2705) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA 301663) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2021-12-30 |