NPI | 1861828881 |
---|---|
Former Name | SHANA MARIE SCHILOUSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1733) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 002397) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2014-09-02 |