NPI | 1770802092 |
---|---|
Other Name | ASHLEY SOUTH |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006119) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT005132) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2022-12-06 |