NPI | 1780882217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ME OA440) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA70000859) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2007-07-08 |