NPI | 1770183238 |
---|---|
Former Name | ELLERY ANNE TRANTHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 121272) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 121272) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2022-04-05 |