NPI | 1639316433 |
---|---|
Former Name | SARA N BROCKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132067) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005038a) |
225X00000X Occupational Therapist (Licence: KY R4085) | |
Enumeration Date | 2009-01-15 |
Last Update Date | 2016-05-26 |