| 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 |