NPI | 1851569347 |
---|---|
Former Name | HEIDI MARIE CUKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SD 186A) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NE 792) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2020-03-24 |