NPI | 1699800425 |
---|---|
Former Name | KIMBERLY DEHAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31002242A) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31002242A) |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-11-21 |