NPI | 1790942530 |
---|---|
Former Name | ALESCIA C BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 002905) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 002905) |
231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CT 86644) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2019-07-25 |