NPI | 1760981328 |
---|---|
Former Name | KRISTEN OMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT18849) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225X00000X Occupational Therapist (Licence: NC 15841) | |
Enumeration Date | 2018-02-08 |
Last Update Date | 2023-06-13 |