NPI | 1669516134 |
---|---|
Former Name | KRISTINA GROTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 9130) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT2098) |
225X00000X Occupational Therapist (Licence: NH 1908) | |
Enumeration Date | 2007-02-17 |
Last Update Date | 2010-02-19 |