NPI | 1861620361 |
---|---|
Former Name | LAURA MARIE PERRAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104126) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: WA OT 00003208) |
225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT 00003208) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2020-07-28 |