NPI | 1710296728 |
---|---|
Former Name | SAMANTHA OSTERHOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 526010) |
Additional Taxonomies | 106S00000X Behavior Technician |
225800000X Recreation Therapist | |
Enumeration Date | 2010-09-26 |
Last Update Date | 2025-03-25 |