| NPI | 1801135355 |
|---|---|
| Former Name | DEANNA DETHOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20466) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5276) |
| 225X00000X Occupational Therapist (Licence: NY 018042-1) | |
| 225X00000X Occupational Therapist (Licence: P86854) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-09-21 |