NPI | 1811551385 |
---|---|
Former Name | TEGAN ANN TONSMEIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 4914) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT3916) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2021-12-21 |