| NPI | 1821180332 |
|---|---|
| Former Name | LORI LYNN CUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-3052) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 2425) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-10-12 |