| NPI | 1831463637 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211219) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 12143) |
| 224Z00000X Occupational Therapy Assistant (Licence: MS TA2655) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |