NPI | 1700322047 |
---|---|
Former Name | EMILY DEARFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2091) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A03191) |
225200000X Physical Therapy Assistant (Licence: NV A0946) | |
225200000X Physical Therapy Assistant (Licence: OR 09380) | |
225X00000X Occupational Therapist (Licence: KY 260047) | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-03-03 |