NPI | 1841797792 |
---|---|
Former Name | DANA MARIE SOPKOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105632) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105607) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2021-01-28 |