NPI | 1871836288 |
---|---|
Former Name | JENNA E ALCORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012317) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: PA OC012317) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2016-09-21 |