| NPI | 1740445899 |
|---|---|
| Former Name | MEGAN LYNN DIEDRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057002970) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2014-12-08 |