NPI | 1699801035 |
---|---|
Former Name | LAURA ANN SISTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: IL 056-006803) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006803) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2015-07-27 |