NPI | 1841338860 |
---|---|
Former Name | PATRICIA LOUISE TRESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: IL 213000146) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 56003649) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2022-10-06 |