NPI | 1891978284 |
---|---|
Former Name | LAUREN SUE BIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00495300) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05878) |
225X00000X Occupational Therapist (Licence: CT 004217) | |
Enumeration Date | 2007-12-09 |
Last Update Date | 2021-06-25 |