NPI | 1851763080 |
---|---|
Former Name | TRISHA K RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 6316) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2949) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |