| NPI | 1730839366 |
|---|---|
| Former Name | JULIE MARIE SHIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA 2646) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2022-03-26 |