NPI | 1801208137 |
---|---|
Former Name | CALLIE BUDZISZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6064-26) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-010621) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2023-10-31 |