NPI | 1790178911 |
---|---|
Former Name | CHELSEA WITTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006133) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2015-03-12 |
Last Update Date | 2019-07-29 |