NPI | 1902956162 |
---|---|
Former Name | LINDSAY MARIE CORSTANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4626) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2048) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2016-03-25 |