NPI | 1841312212 |
---|---|
Former Name | CHRISTY M. MCMANUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002420) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160004410) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2010-05-13 |