NPI | 1669247573 |
---|---|
Former Name | MCKENZIE ELAINE LEUSCHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 124100) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |