NPI | 1831479187 |
---|---|
Former Name | RUTH A NORDENBROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056003840) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056003840) |
Enumeration Date | 2011-08-18 |
Last Update Date | 2011-08-18 |