NPI | 1801180310 |
---|---|
Former Name | KIMBERLY ANN LEWANDOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: MI 5201005603) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005603) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2018-04-24 |