| NPI | 1881304483 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 14768) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 115433) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR01068400) | |
| 225X00000X Occupational Therapist (Licence: PA OC018501) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-27 |