| NPI | 1720718976 |
|---|---|
| Former Name | CAROLYN PATRICIA ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT-4111) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.012890) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2024-04-22 |