| NPI | 1669032645 |
|---|---|
| Former Name | CASEY WHITTAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: ME OT3009) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-04-30 |