NPI | 1780088591 |
---|---|
Former Name | CASSIE RENA LOWANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006029) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A01538) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-24 |