| 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 |