| NPI | 1841204880 |
|---|---|
| Former Name | JENNIFER L TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification (Licence: WA OT 00003587) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-02-10 |