NPI | 1750673612 |
---|---|
Former Name | SARA R DIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005370) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009395) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2012-01-19 |