NPI | 1871670950 |
---|---|
Former Name | REBECCA JEAN DRAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0674) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103311) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |