NPI | 1922110550 |
---|---|
Former Name | HEATHER O'BRIEN TABLIZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 107536) |
Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 107536) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-10-21 |