NPI | 1841760543 |
---|---|
Former Name | JAIRRAH LA NEACE MANSFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018004819) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03386) |
225X00000X Occupational Therapist (Licence: CA OT17857) | |
Enumeration Date | 2018-11-26 |
Last Update Date | 2024-01-18 |