NPI | 1821341033 |
---|---|
Former Name | MARY BETH ZIMMERLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 1009) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AK 1009) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |