NPI | 1760756704 |
---|---|
Former Name | HILARY MARIE LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0003810) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012203) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2015-03-25 |