| NPI | 1871872382 |
|---|---|
| Former Name | LISA NICOLE WOOD BELLAVANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 7986) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: RI 0T00758) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2018-12-18 |