| NPI | 1699966069 |
|---|---|
| Former Name | JEAN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR346) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT8332) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |