| NPI | 1689449373 |
|---|---|
| Former Name | EMILY MAE BAETHGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 118601) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118601) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |