NPI | 1699178111 |
---|---|
Former Name | ELLEN RENEE HESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR2757) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT5716) | |
Enumeration Date | 2014-09-29 |
Last Update Date | 2022-07-21 |