NPI | 1780900704 |
---|---|
Former Name | BRIDGET LUCAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 16427) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3721) |
225X00000X Occupational Therapist (Licence: IL 056007795) | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2014-11-04 |