| NPI | 1861127706 |
|---|---|
| Former Name | MADISON REINA HERRIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-9444) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03553) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |