NPI | 1720185069 |
---|---|
Former Name | JENNIFER STOOKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 1010494) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0002066) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2025-01-28 |