NPI | 1821657297 |
---|---|
Former Name | JANET LYNN MADSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AZ OTH-000094) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OTH-000094) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2025-04-16 |