NPI | 1760976906 |
---|---|
Former Name | AMANDA KATHERINE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA 308664) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2022-09-19 |