NPI | 1659608602 |
---|---|
Former Name | ASHLEY J MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006138) |
Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MD 06237) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2015-12-10 |