| NPI | 1760871297 |
|---|---|
| Former Name | HEATHER SIEWERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 115891) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-02-24 |