NPI | 1770032963 |
---|---|
Former Name | CHELSEA CAMPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CT 4564) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: 004564) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2021-12-17 |