NPI | 1659662302 |
---|---|
Former Name | ELLEN CAROL SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201001382) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |