NPI | 1861875890 |
---|---|
Former Name | AMBER DAWN BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002152A) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007559) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |