NPI | 1710111760 |
---|---|
Former Name | ANGELA MARIE SHILLINGLAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005876) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225XH1200X Occupational Therapist, Hand (Licence: VA 0119005876) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2023-08-17 |