| 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 |