NPI | 1790784882 |
---|---|
Former Name | MELISSA J. ANDRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC007065L) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: VA 0119004554) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2009-02-09 |