| NPI | 1871885947 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 2146) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL ot13178) |
| 225X00000X Occupational Therapist (Licence: VT 072.0067657) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |