NPI | 1851637995 |
---|---|
Former Name | JULIA MARIAH MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 003573) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0003573) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2014-08-18 |