| NPI | 1760566004 |
|---|---|
| Former Name | GINA MARIE MISITANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT003903) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12415) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-07-07 |