NPI | 1710350236 |
---|---|
Former Name | LYRIC TAYLOR HUPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR3320) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2015-11-05 |
Last Update Date | 2023-06-14 |