NPI | 1710340104 |
---|---|
Former Name | CATHY LYNN CRISPEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006539) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117253) |
225X00000X Occupational Therapist (Licence: IN 31005790A) | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |