NPI | 1700295490 |
---|---|
Former Name | SHELLY SCHWINDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CO OT.0007221) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2023-08-29 |