NPI | 1871853630 |
---|---|
Former Name | CATHERINE ANN BORDELON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118694) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006395) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2021-11-17 |