NPI | 1730729716 |
---|---|
Former Name | COURTNEY ANN WEILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023434-01) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 023434-1) |
Enumeration Date | 2020-01-08 |
Last Update Date | 2023-10-06 |