NPI | 1922652130 |
---|---|
Former Name | JULIE LYNN DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00003194) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: WA 00003194) |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |