NPI | 1831795640 |
---|---|
Former Name | ELLA MADISON HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6721) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR3474) |
225X00000X Occupational Therapist (Licence: AL 5414) | |
Enumeration Date | 2020-12-07 |
Last Update Date | 2021-07-28 |