| NPI | 1750081303 |
|---|---|
| Former Name | CHASITY FAITH CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN 3806) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002686) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |