| NPI | 1801263371 |
|---|---|
| Former Name | JODI PETERSOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 2887) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 953) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |