NPI | 1689874703 |
---|---|
Former Name | JILLIAN PERRIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013456) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9240) |
225X00000X Occupational Therapist (Licence: WA OT00004391) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2015-10-13 |