NPI | 1760641112 |
---|---|
Former Name | ASHLEY MORAVEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 290311) |
Additional Taxonomies | 171W00000X Contractor (Licence: VA 0119004573) |
225X00000X Occupational Therapist (Licence: NY 029311) | |
225X00000X Occupational Therapist (Licence: NY 023911) | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2022-03-18 |