| NPI | 1851602668 |
|---|---|
| Former Name | HEATHER BETH JETZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT 3618) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 3618) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2024-09-30 |