NPI | 1881844637 |
---|---|
Former Name | DAWN MARIE MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MO 2000173669) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: KS 17-01629) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2015-11-20 |