NPI | 1851961254 |
---|---|
Former Name | AMANDA GRACE FALSETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR01009900) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025779) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2023-12-04 |