NPI | 1841796166 |
---|---|
Former Name | CORRINE WAYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61360561) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022341) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2025-03-11 |