| NPI | 1841721875 |
|---|---|
| Former Name | BRIANNA PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001515) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT-1619) |
| 225X00000X Occupational Therapist (Licence: VA 0119007191) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-12-02 |