NPI | 1659410116 |
---|---|
Former Name | CANDICE LISA DIAMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MD 03982) |
Additional Taxonomies | 225XE1200X Occupational Therapist, Ergonomics (Licence: MD 03982) |
225XP0200X Occupational Therapist, Pediatrics (Licence: MD 03982) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-06-26 |