NPI | 1720114523 |
---|---|
Former Name | KATHY FEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT3288) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 303644) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2021-12-29 |