| NPI | 1790467694 |
|---|---|
| Former Name | SHELBY DECANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-008801) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056014253) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-02-04 |