| NPI | 1700493749 |
|---|---|
| Former Name | ELIZABETH ANN STUCKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008664) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09071) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-01-11 |