NPI | 1679692859 |
---|---|
Former Name | LORI GIPSON MCKAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1985) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.Z12072) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |