| NPI | 1659927101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: OH .008052) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: WV 1445) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |