NPI | 1790064756 |
---|---|
Former Name | TAIMI BORGES ALEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119009094) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 18289) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2022-02-09 |