| NPI | 1841638061 |
|---|---|
| Former Name | ROSE MARY HEACOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 074004) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005553) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2018-08-13 |