NPI | 1659635480 |
---|---|
Former Name | RACHEL HARRELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3935) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 8302) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2020-01-21 |