NPI | 1801261581 |
---|---|
Former Name | MARISSA ODDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020095-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 6365) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2021-09-23 |