NPI | 1841845609 |
---|---|
Former Name | STEPHANIE M DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010053) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 240481) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-08-07 |