| NPI | 1699355719 |
|---|---|
| Former Name | JESSICA LEANN SOWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 269236) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 269236) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |