NPI | 1811493661 |
---|---|
Former Name | ANN MALLOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA 20407) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NV 17-0983) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2020-03-20 |