NPI | 1780073999 |
---|---|
Former Name | SIERRA BAECHLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2013027848) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT-1425) |
225X00000X Occupational Therapist (Licence: TX 116583) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-01-12 |