NPI | 1629550231 |
---|---|
Former Name | LAUREN MARIE KAPOLNEK STOVER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.012168) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 088626) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2025-02-18 |