NPI | 1710300959 |
---|---|
Professional Name | MEDGINE MICHELLE CARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19662) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000886) |
225X00000X Occupational Therapist (Licence: VA 0119005868) | |
Enumeration Date | 2014-01-23 |
Last Update Date | 2019-09-03 |