| NPI | 1649559220 |
|---|---|
| Former Name | JANNA MARIE KUNTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 1112) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 60244305) |
| 225X00000X Occupational Therapist (Licence: ID OT-1070) | |
| 225X00000X Occupational Therapist (Licence: OR 243980) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-08-29 |