NPI | 1922206739 |
---|---|
Former Name | LORI LYNN PACHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103564) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 329) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2010-05-18 |