| NPI | 1639159338 |
|---|---|
| Former Name | MARY LYNN FLORENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 25) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 100966) |
| 225X00000X Occupational Therapist (Licence: AA522599) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-11-29 |