NPI | 1801150065 |
---|---|
Former Name | DEVON LANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23449) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056007170) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2024-05-29 |