| NPI | 1649094210 |
|---|---|
| Former Name | JULIETTA RESIDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001814) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NM OTA.0001814) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-11-26 |