NPI | 1700860079 |
---|---|
Former Name | SUSAN ELIZABETH CULBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 983735) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00002842) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2007-07-08 |