| NPI | 1639557184 |
|---|---|
| Former Name | CARRIE ANN BONSUTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0931) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1693) |
| 225X00000X Occupational Therapist (Licence: IA 002408) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-21 |