| NPI | 1669833356 |
|---|---|
| Former Name | ALICIA ROBIN PETROUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 2321) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10863) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2017-08-30 |