| NPI | 1629548219 |
|---|---|
| Former Name | LEAH MORGAN WISEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 245350) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 245350) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-08-29 |