| NPI | 1700079332 |
|---|---|
| Former Name | THERESE ANN DEMECHKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006065) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 4861700-4201) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2014-02-12 |