| NPI | 1740794841 |
|---|---|
| Former Name | AMBER LAINE MAXWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: LA OTT.200272) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |