NPI | 1912101429 |
---|---|
Former Name | AMANDA M MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4988-026) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.009345) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-05-12 |